Individual
ANA M MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
(614) 722-4565
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
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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