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Individual

JENNIFER ROBIN MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1450 10TH ST STE 400, SANTA MONICA, CA 90401-2831
(310) 458-3384
Mailing address
1450 10TH ST STE 400, SANTA MONICA, CA 90401-2831
(310) 458-3384

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
47953
CA

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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