Individual
FABIOLA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5441 ALPHA RD STE 106, DALLAS, TX 75240-2550
(972) 798-2644
Mailing address
12214 GALVA DR, DALLAS, TX 75243-3706
(972) 922-4940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40493
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2023
Last updated
02/04/2025
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