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Organization
MERRY DENTAL CARE CENTER, PA
Active
Organization
MERRY DENTAL CARE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN WORSING MERRY DDS (OWNER)
(952) 942-0808
Entity
Organization
Contact information
Practice address
7460 MARKET PLACE DR, EDEN PRAIRIE, MN 55344-3604
(952) 942-0808
(952) 942-5151
Mailing address
7460 MARKET PLACE DR, EDEN PRAIRIE, MN 55344-3604
(952) 942-0808
(952) 942-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9616
MN
1223G0001X
General Practice Dentistry
D12697
MN
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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