Organization
BRUCE P. MERCADO D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE PHILIP MERCADO D.D.S. (PRESIDENT)
(248) 625-5000
Entity
Organization
Contact information
Practice address
6445 CITATION DR, SUITE A, CLARKSTON, MI 48346-2996
(248) 625-5000
(248) 625-8459
Mailing address
6445 CITATION DR, SUITE A, CLARKSTON, MI 48346-2996
(248) 625-5000
(248) 625-8459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013545
MI
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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