Provider Demographics
NPI:1861538381
Name:ROMERO, MERCAY MARGARET (DMD)
Entity type:Individual
Prefix:DR
First Name:MERCAY
Middle Name:MARGARET
Last Name:ROMERO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83790 LEEDS CT
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-3152
Mailing Address - Country:US
Mailing Address - Phone:617-669-4149
Mailing Address - Fax:
Practice Address - Street 1:55497 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:THERMAL
Practice Address - State:CA
Practice Address - Zip Code:92274-9412
Practice Address - Country:US
Practice Address - Phone:760-238-5494
Practice Address - Fax:760-262-6195
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA551991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice