Individual provider · Type 1 NPI

Mercurious Mina

Periodontics · Cleveland, OH

NPI number 1336767847 Active

Practice location

9601 Chester Ave
Cleveland, OH 44106-1666

Mailing address

35 Severance Cir
Cleveland Heights, OH 44118-1523

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XRES.004174 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1336767847

Mercurious Mina's National Provider Identifier is 1336767847, issued on Jul 10, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Cleveland, OH. The record was last updated on Jul 10, 2020.