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Organization
JERRY D MERRELL, DDS INC
Active
Organization
JERRY D MERRELL, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY D MERRELL DDS, INC (PRESIDENT)
(805) 688-1155
Entity
Organization
Contact information
Practice address
2028 VILLAGE LN STE 101, SOLVANG, CA 93463-3222
(805) 688-1155
(805) 686-2699
Mailing address
2028 VILLAGE LN STE 101, SOLVANG, CA 93463-3222
(805) 688-1155
(805) 686-2699
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
12/21/2018
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