Individual
SHAY JAHEN MERRITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
621 S NEW BALLAS RD STE 10, SAINT LOUIS, MO 63141-8232
(314) 251-5775
(314) 251-5776
Mailing address
621 S NEW BALLAS RD STE 10, SAINT LOUIS, MO 63141-8232
(314) 251-5775
(314) 251-5776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024016404
MO
Other
Enumeration date
04/03/2024
Last updated
05/29/2024
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