Individual
SHERIN MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 W TALCOTT RD, PARK RIDGE, IL 60068-5338
(407) 970-1926
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-2493
(407) 970-1926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24704
FL
1223G0001X
General Practice Dentistry
9563
SC
1223P0300X
Periodontics
Primary
019.033502
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2019
Last updated
07/14/2022
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