Individual
DR. JULIE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2975
(631) 444-2907
Mailing address
225 REDWOOD DR, COPPELL, TX 75019-5423
(702) 885-9634
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
36670
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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