| Mary H. Patuwo Dds, Inc. | |
|
14796 Beach Blvd La Mirada CA 90638 | |
| (714) 562-5402 | |
| (714) 562-0248 |
| Full Name | Mary H. Patuwo Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 14796 Beach Blvd, La Mirada, California |
| Authorized Official Name and Position | Lukas Patuwo (MANAGER) |
| Authorized Official Contact | 7145625402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary H. Patuwo Dds, Inc. 14796 Beach Blvd La Mirada CA 90638 Ph: (714) 562-5402 | Mary H. Patuwo Dds, Inc. 14796 Beach Blvd La Mirada CA 90638 Ph: (714) 562-5402 |
| NPI Number | 1659423226 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659423226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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