IndividualActive
Merancia Dezina, DENTAL ASSISTANT
NPI 1699391540 · Dental Assistant · Port St Lucie, FL
Provider details
- NPI number
- 1699391540
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DENTAL ASSISTANT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
1762 Se Aires Ln
Port St Lucie, FL 34984-3757
Phone: (786) 853-0443
Approximate (ZIP-level) locationGet directions
Mailing address
1762 Se Aires Ln
Port St Lucie, FL 34984-3757
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.