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Individual

MITCHELL MERRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6990 QUINN ST BLDG 2356, FORT CARSON, CO 80913-4450
(719) 526-2200
Mailing address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205674
CO

Other

Enumeration date
08/03/2023
Last updated
05/18/2026
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