Individual
DR. KYLE JOSEPH MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 N 7TH AVE, WEST BEND, WI 53095-3242
(262) 338-1164
Mailing address
309 N 7TH AVE, WEST BEND, WI 53095-3242
(262) 338-1164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100969-15
WI
Other
Enumeration date
07/29/2014
Last updated
10/07/2014
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