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Individual

ANA M MERCADO

Active
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Individual

ANA M MERCADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30021514
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30021514
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0071157
OH
Enumeration date
10/05/2006
Last updated
03/30/2022
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