# BRUCE P. MERCADO D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568595973
- **Authorized official:** DR. BRUCE PHILIP MERCADO D.D.S. (PRESIDENT)
- **Authorized official phone:** (248) 625-5000

## Contact information

- **Practice address:** 6445 CITATION DR, SUITE A, CLARKSTON, MI 48346-2996
- **Practice address phone:** (248) 625-5000
- **Practice address fax:** (248) 625-8459
- **Mailing address:** 6445 CITATION DR, SUITE A, CLARKSTON, MI 48346-2996
- **Mailing address phone:** (248) 625-5000
- **Mailing address fax:** (248) 625-8459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901013545 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020