| Marilou Mercado-ulit,d.d.s. Inc. | |
|
2105 Beverly Blvd Ste 125 Suite# 125 Los Angeles CA 90057-2260 | |
| (213) 413-8766 | |
| Not Available |
| Full Name | Marilou Mercado-ulit,d.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2105 Beverly Blvd Ste 125, Los Angeles, California |
| Authorized Official Name and Position | Marilou Mercado- Ulit (DENTIST/OWNER) |
| Authorized Official Contact | 2134138766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilou Mercado-ulit,d.d.s. Inc. 2105 Beverly Blvd Ste 125 Suite# 125 Los Angeles CA 90057-2260 Ph: (213) 413-8766 | Marilou Mercado-ulit,d.d.s. Inc. 2105 Beverly Blvd Ste 125 Suite# 125 Los Angeles CA 90057-2260 Ph: (213) 413-8766 |
| NPI Number | 1508269598 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269598 | NPI | - | NPPES |
| G90642-01 | Other | CA | DELTA DENTAL/MEDICAL |
| 1972679603 | Medicaid | CA | |
| 1972679603 | Other | CA | DENTI-CAL |
| 1972679603 | Other | CA | MEDICAL/DENTICAL |
| 1972679603 | Other | CA | DENTICAL/MEDICAL |
| 122300000X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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