Individual
DR. MERCY O GRACHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6515 GITHENS AVE, PENNSAUKEN, NJ 08109-2416
(856) 910-1771
Mailing address
6515 GITHENS AVE, PENNSAUKEN, NJ 08109-2416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI19207
NJ
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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