Individual
DR. ERIC MENCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
UNIVERSITY OF KENTUCKY 800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 257-2002
Mailing address
800 ROSE ST. ROOM D-508, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9500
KY
Other
Enumeration date
06/15/2014
Last updated
07/10/2017
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