Individual
HEIDI REBECCA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1010 N CAMPBELL RD, ROYAL OAK, MI 48067-1570
(248) 542-9700
Mailing address
95 VIRGINIA ST, PONTIAC, MI 48342-1375
(248) 212-6017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021318
MI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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