Individual
KELLY RUGGIERI MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 GALLATIN ST NE, WASHINGTON, DC 20011-7533
(844) 796-2797
Mailing address
16 TERRA CT, CRANSTON, RI 02920-4373
(401) 499-6709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1002042
DC
Other
Enumeration date
08/06/2019
Last updated
04/02/2024
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