Maricelle R. Ortiz-luis, Dds, A Professional Corporation | |
2515 Pio Pico Dr Suite B Carlsbad CA 92008-1560 | |
(760) 434-3119 | |
(760) 434-3438 |
Full Name | Maricelle R. Ortiz-luis, Dds, A Professional Corporation |
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Speciality | Clinic/center - Dental |
Location | 2515 Pio Pico Dr, Carlsbad, California |
Authorized Official Name and Position | Maricelle R Ortiz-luis (PRESIDENT) |
Authorized Official Contact | 7604343119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maricelle R. Ortiz-luis, Dds, A Professional Corporation 2515 Pio Pico Dr Suite B Carlsbad CA 92008-1560 Ph: (760) 434-3119 | Maricelle R. Ortiz-luis, Dds, A Professional Corporation 2515 Pio Pico Dr Suite B Carlsbad CA 92008-1560 Ph: (760) 434-3119 |
NPI Number | 1083874424 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 06/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083874424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 47653 (California) | Primary |
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