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Organization

DAVID W MERRELL DDS MSD PLC

Active
Other names
West End Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID W MERRELL DDS, MSD (PEDIATRIC DENTIST)
(804) 741-1400
Entity
Organization

Contact information

Practice address
12205 GAYTON ROAD, SUITE A, RICHMOND, VA 23238-3212
(804) 741-1400
(804) 741-7700
Mailing address
12205 GAYTON ROAD, SUITE A, RICHMOND, VA 23238-3212
(804) 741-1400
(804) 741-7700

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413933
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9178644
VA
Enumeration date
12/01/2014
Last updated
12/01/2014
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