| Patricia Patino Dds Inc | |
|
301 S Juniper Street Escoudido GA 92025 | |
| (760) 740-5979 | |
| (760) 740-0612 |
| Full Name | Patricia Patino Dds Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033215413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51637 (California) | Primary |