Individual
DR. KYLE MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6460 MAIN ST, NORTH BRANCH, MN 55056-7068
(651) 674-7096
Mailing address
PO BOX 220, NORTH BRANCH, MN 55056-0220
(218) 341-9584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14228
MN
Other
Enumeration date
06/05/2019
Last updated
06/29/2023
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