MICHAEL ROBERT MERRELL

REXBURG, ID
NPI1972516607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D321)
Additional Taxonomies122300000X Dentist
(Licence: ID  D3211)
Enumeration Date2006-08-14
Last Update Date2024-01-10
Business Address
MICHAEL ROBERT MERRELL DDS
1183 SUMMERS DR
REXBURG, ID 83440-5224
Phone number: 208-356-9097
Mailing Address
MICHAEL ROBERT MERRELL DDS
1183 SUMMERS DR
REXBURG, ID 83440-5224
Phone number: 208-356-9097