Dr Patrice Luzelle Ermita Mara, DMD in Fort Irwin, CA

Dr Patrice Luzelle Ermita Mara, DMD is a Dentist based in Fort Irwin, California. Dr Patrice Luzelle Ermita Mara is licensed to practice in Colorado (license number DEN.00204040) and her current practice location is 171 Inner Loop Rd, Fort Irwin, California. She can be reached at her office (for appointments etc.) via phone at (760) 380-6179.

NPI number for Dr Patrice Luzelle Ermita Mara is 1932753647 and her current mailing address is 171 Inner Loop Rd, Fort Irwin, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932753647.

Contact Information

	Dr Patrice Luzelle Ermita Mara, DMD
	171 Inner Loop Rd, Fort Irwin, CA 92310
	(760) 380-6179
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Patrice Luzelle Ermita Mara
Gender	Female
Speciality	Dentist
Location	171 Inner Loop Rd, Fort Irwin, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1932753647
Provider Enumeration Date: 07/31/2019
Last Update Date: 08/14/2025

Medical Identifiers

Medical identifiers for Dr Patrice Luzelle Ermita Mara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932753647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN.00204040 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Patrice Luzelle Ermita Mara is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Patrice Luzelle Ermita Mara, DMD 171 Inner Loop Rd, Fort Irwin, CA 92310 Ph: (760) 380-6179	Dr Patrice Luzelle Ermita Mara, DMD 171 Inner Loop Rd, Fort Irwin, CA 92310 Ph: (760) 380-6179

Reviews and Comments

Dentist in Fort Irwin, CA

Dr. Stephanie Chung Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Road, Fort Irwin, CA 92310 Phone: 760-380-3166
Ryan Steven Payne, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537 Fax: 706-787-2082
Dr. Joshua Hyungkyu Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th And Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537
Dr. Yong Soo Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166
Dustin Tyler Nygard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg, 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166
Dr. Sergio Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3173
Dr. Dolores Luque, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Building 171, 4th & Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-5733 Fax: 760-380-4996

Dr Patrice Luzelle Ermita Mara, DMD - Dentist in Fort Irwin, CA