Donald Russell Merryfield DDS

NPI 1689879603 - Dentist - 1223X0400X

NPI Details
NPI 1689879603
Gender Male
Enumeration Date 06/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1160 VARNUM ST NE
#006 DE PAUL BLDG PROVIDENCE HOSPITAL
WASHINGTON DC, 20017, US
Phone (202) 269-7103
Fax (202) 269-7100
Business Location
10545 TODDS CORNER RD
EASTON MD, 21601-5437, US
Phone (410) 763-8432
Fax (410) 763-8432
Toxanomy
Taxonomy Code 1223X0400X
License State Maryland
License Number 4423
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According to our database, Dr. Donald Russell Merryfield DDS NPI is 1689879603, taxonomy code is 1223X0400X and license number is 4423, license state is located at Maryland. Donald Russell Merryfield DDS physically located at 1160 Varnum St Ne, Washington DC, 20017. NPI Number Donald Russell Merryfield DDS has the Individual type.

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1689879603 NPI number is provided on an as is basis without warranty of any kind. 1689879603 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Russell Merryfield DDS are for informational purposes only.