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Individual

DR. AMY LYNN MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
17821 HIGHWAY 7, SUITE 2F, MINNETONKA, MN 55345-4111
(952) 474-5622
(952) 474-0283
Mailing address
6786 YELLOWSTONE LN N, MAPLE GROVE, MN 55311-2931
(763) 420-2627

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10886
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39323100
MN
Enumeration date
12/06/2006
Last updated
07/28/2007
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