Individual
MARK CHARLES MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
1021 S MARKET BLVD, CHEHALIS, WA 98532-3425
(360) 740-7547
(360) 740-7567
Mailing address
1021 S MARKET BLVD, CHEHALIS, WA 98532-3425
(360) 740-7547
(360) 740-7567
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000125
WA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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