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Organization
MARILOU MERCADO-ULIT,D.D.S. INC.
Active
Organization
MARILOU MERCADO-ULIT,D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU MERCADO- ULIT D.D.S. (DENTIST/OWNER)
(213) 413-8766
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD STE 125, SUITE# 125, LOS ANGELES, CA 90057-2260
(213) 413-8766
Mailing address
2105 BEVERLY BLVD STE 125, SUITE# 125, LOS ANGELES, CA 90057-2260
(213) 413-8766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
CA
01
—
1972679603
DENTI-CAL
CA
05
—
1972679603
—
CA
01
—
G90642-01
DELTA DENTAL/MEDICAL
CA
Enumeration date
10/03/2014
Last updated
10/03/2014
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