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Individual

DR. ROBERT RALPH MERCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130
(857) 364-4115
(857) 364-2040
Mailing address
150 S HUNTINGTON AVE, VAMC BOSTON 160, BOSTON, MA 02130
(857) 364-4115

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13252
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13252
DENTAL
MA
Enumeration date
09/07/2006
Last updated
07/08/2007
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