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Organization

M.L,A. MERCADO DENTAL CORPORATION

Active
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Organization

M.L,A. MERCADO DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA LUISA AMANTE MERCADO DDS (DENTIST)
(714) 389-1479
Entity
Organization

Contact information

Practice address
167 LAS PALMAS DR, IRVINE, CA 92602-2311
(714) 389-1479
Mailing address
167 LAS PALMAS DR, IRVINE, CA 92602-2311
(714) 389-1479

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55872
CA

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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