Individual
MATTHEW MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 S COUNTRY CLUB DR # 101, MESA, AZ 85210-4639
(520) 251-3962
Mailing address
897 W CROOKED STICK DR, CASA GRANDE, AZ 85122-6144
(520) 251-3962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012160
AZ
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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