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Individual
FABIOLA B. RAMOS-MERCADO
Active
Individual
FABIOLA B. RAMOS-MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102261
CA
122300000X
Dentist
22DI02409500
NJ
122300000X
Dentist
DS031298L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207152
—
NJ
01
—
090647F61
FEDERAL PROV. ID NO.
—
05
—
1012729750001
—
PA
Enumeration date
11/23/2005
Last updated
05/29/2018
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