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Organization
JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
Active
Organization
JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
Active
Other names
PERRIS KIDS DENTIST DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN W MERCER DDS (OWNER)
(951) 374-4294
Entity
Organization
Contact information
Practice address
3150 CASE RD BLDG G-2, PERRIS, CA 92570-5551
(951) 374-4294
(951) 384-2011
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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