Individual
DR. CONCHITA O MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1101 RIATA VALLEY RD, KINGMAN, AZ 86409
(928) 692-9394
(928) 692-9399
Mailing address
1101 RIATA VALLEY RD, KINGMAN, AZ 86409
(928) 692-9394
(938) 692-9399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5913
AZ
Other
Enumeration date
05/31/2007
Last updated
09/11/2008
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