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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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