Patricia Patino Dds Inc | |
301 S Juniper Street Escoudido GA 92025 | |
(760) 740-5979 | |
(760) 740-0612 |
Full Name | Patricia Patino Dds Inc |
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Speciality | Dentist |
Location | 301 S Juniper Street, Escoudido, Georgia |
Authorized Official Name and Position | Stelle Patricia Patino (PRESIDENT) |
Authorized Official Contact | 7607405979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patricia Patino Dds Inc 301 S Juniper Street Escoudido GA 92025 Ph: (760) 740-5979 | Patricia Patino Dds Inc 301 S Juniper Street Escoudido GA 92025 Ph: (760) 740-5979 |
NPI Number | 1033215413 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1033215413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 51637 (California) | Primary |