Individual
DR. TIMOTHY MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3051
(203) 503-3187
Mailing address
36 LONG HILL RD, CLINTON, CT 06413-1841
(860) 669-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005435
CT
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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