Individual
KATHERINE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2310 BANKHEAD HWY, CARROLLTON, GA 30116-5828
(770) 832-1717
Mailing address
2310 BANKHEAD HWY, CARROLLTON, GA 30116-5828
(770) 832-1717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012463
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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