| M.l,a. Mercado Dental Corporation | |
|
167 Las Palmas Dr Irvine CA 92602-2311 | |
| (714) 389-1479 | |
| Not Available |
| Full Name | M.l,a. Mercado Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 167 Las Palmas Dr, Irvine, California |
| Authorized Official Name and Position | Maria Luisa Amante Mercado (DENTIST) |
| Authorized Official Contact | 7143891479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.l,a. Mercado Dental Corporation 167 Las Palmas Dr Irvine CA 92602-2311 Ph: (714) 389-1479 | M.l,a. Mercado Dental Corporation 167 Las Palmas Dr Irvine CA 92602-2311 Ph: (714) 389-1479 |
| NPI Number | 1639449036 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639449036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55872 (California) | Primary |
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