Individual
DR. JOSHUA LOGAN MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5024 LACEY BLVD SE, LACEY, WA 98503-5729
(201) 919-1426
Mailing address
5024 LACEY BLVD SE, LACEY, WA 98503-5729
(201) 919-1426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60881058
WA
Other
Enumeration date
06/02/2017
Last updated
05/16/2024
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