Individual
DR. DONALD RUSSELL MERRYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1160 VARNUM ST NE, #006 DE PAUL BLDG PROVIDENCE HOSPITAL, WASHINGTON, DC 20017
(202) 269-7103
(202) 269-7100
Mailing address
10545 TODDS CORNER RD, EASTON, MD 21601-5437
(410) 763-8432
(410) 763-8432
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4423
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN2274
DC
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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