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Organization
MERRILL RANCH DENTAL COMPANY, P.C.
Active
Organization
MERRILL RANCH DENTAL COMPANY, P.C.
Active
Other names
Merrill Ranch Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC LYNN KERBS DDS (PRESIDENT)
(480) 648-4037
Entity
Organization
Contact information
Practice address
4704 E SOUTHERN AVE, MESA, AZ 85206-2737
(480) 648-4037
(480) 696-5505
Mailing address
4704 E SOUTHERN AVE, MESA, AZ 85206-2737
(480) 648-4037
(480) 696-5505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6458
AZ
1223G0001X
General Practice Dentistry
Primary
6458
AZ
Other
Enumeration date
08/27/2010
Last updated
12/06/2013
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