Individual
MITCHELL MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3740 SOUTH 14TH STREET, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 967-5271
Mailing address
9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205674
CO
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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