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Mark Charles Mercer, LD
Denturist in Chehalis, Washington
NPI 1619058179

Mark Charles Mercer is a Denturist based in Chehalis, WA. Mark Charles Mercer practices in Chehalis, WA and has the professional credentials of LD. The NPI Number for Mark Charles Mercer is 1619058179 and holds a License No. DN00000125 (Washington).

The current practice location address for Mark Charles Mercer is 1021 S Market Blvd, Chehalis, WA and can be reached out via phone at 360-740-7547 and via fax at 360-740-7567.

Location: 1021 S Market Blvd, Chehalis, WA, 98532-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619058179
Provider Name
Mark Charles Mercer
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
1021 S Market Blvd, Chehalis, WA, 98532-3425
Phone Number
360-740-7547
Fax Number
360-740-7567
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1021 S Market Blvd
City
Chehalis
State
Washington
Zip
98532-3425
Phone Number
360-740-7547
Fax Number
360-740-7567
person
Provider Business Mailing Address Details
Address
1021 S Market Blvd
City
Chehalis
State
Washington
Zip
98532-3425
Phone Number
360-740-7547
Fax Number
360-740-7567
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000125 (Washington)
Definition
Definition to come.
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