Individual
MS. LORYN R MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3993 TYRONE BLVD, STE 204, ST PETERSBURG, FL 33709
(727) 341-0909
(727) 341-0803
Mailing address
3993 TYRONE BLVD, STE 204, ST PETERSBURG, FL 33709
(727) 341-0909
(727) 341-0803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0523741
NY
122300000X
Dentist
Primary
17817
FL
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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