Provider Demographics
NPI:1801989793
Name:MERCADO, SARINA (DDS)
Entity type:Individual
Prefix:DR
First Name:SARINA
Middle Name:
Last Name:MERCADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SARINA
Other - Middle Name:
Other - Last Name:MERCADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7100 E CAVE CREEK RD
Mailing Address - Street 2:BLDG 11, SUITE 101
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331
Mailing Address - Country:US
Mailing Address - Phone:480-595-5066
Mailing Address - Fax:
Practice Address - Street 1:7100 E CAVE CREEK RD
Practice Address - Street 2:BLDG 11, SUITE 101
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331
Practice Address - Country:US
Practice Address - Phone:480-595-5066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ201271223E0200X
AZD68891223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics