Provider Demographics
NPI:1023205580
Name:CARMEN MILLADO UY, DDS. INC.
Entity Type:Organization
Organization Name:CARMEN MILLADO UY, DDS. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:MILLADO
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-548-0608
Mailing Address - Street 1:320 N VERDUGO RD
Mailing Address - Street 2:#100
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-5238
Mailing Address - Country:US
Mailing Address - Phone:818-548-0608
Mailing Address - Fax:818-548-0648
Practice Address - Street 1:320 N VERDUGO RD
Practice Address - Street 2:#100
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-5238
Practice Address - Country:US
Practice Address - Phone:818-548-0608
Practice Address - Fax:818-548-0648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49694261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA001561174OtherUCCI HMO
CAG9370901OtherDENTI-CAL