Individual
DR. TYSON CURTIS MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE # 9-176, MINNEAPOLIS, MN 55455-0357
(612) 624-6644
Mailing address
1029 29TH AVE SE APT F, MINNEAPOLIS, MN 55414-2719
(612) 308-2207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
R786
MN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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