Individual
KRISTINA M MERRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Mailing address
3722 BROWNS POINT BLVD, TACOMA, WA 98422
(253) 334-9514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE10429
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00010429
WA
Other
Enumeration date
09/01/2006
Last updated
07/21/2022
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