Individual
KATHERINE ROSE MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
30 MOSS GLEN LN, SOUTH BURLINGTON, VT 05403-7275
(802) 881-4231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0134067
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
08/06/2022
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