MEDICARE: DR. LULETTE ALVERO MERCADO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	57556	CA

General Provider Information

NPI Number	:	1366698268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LULETTE ALVERO MERCADO D.D.S.

Provider Business Mailing Address
First Line	:	840 W OLIVE AVE STE C
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2421
Country	:	US
Telephone Number	:	209-777-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 W OLIVE AVE STE C
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2421
Country	:	US
Telephone Number	:	209-777-9508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2008
Last Update Date	:	12/02/2025

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Directions to “ DR. LULETTE ALVERO MERCADO D.D.S.” Practice Location

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