Individual
MACLYN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
201 WALNUT AVE, VALLEJO, CA 94592-1107
(707) 562-8200
Mailing address
506 ASPEN CT, VACAVILLE, CA 95687-3315
(530) 249-2328
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNK
UNK
—
Enumeration date
08/19/2020
Last updated
08/19/2020
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