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Individual

MS. MERRIE LYNNE DETOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
85 MONTEREY LN, SIERRA MADRE, CA 91024-2101
(626) 390-1437
Mailing address
1117 DESCANSO DRIVE, LA CANADA, CA 91011
(626) 390-1437

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
332
CA

Other

Enumeration date
05/23/2011
Last updated
05/23/2011
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