Individual
JENNIFER MARGARET MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12 NEW ST, OSWEGO, NY 13126-1764
(315) 342-5800
Mailing address
12 NEW ST, OSWEGO, NY 13126-1764
(315) 342-5800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03616488
—
NY
Enumeration date
04/12/2012
Last updated
05/20/2014
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