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Organization
FITZPATRICK ,MARY,DDS INC
Active
Organization
FITZPATRICK ,MARY,DDS INC
Active
Other names
mchenry village dental services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LOU FITZPATRICK (OWNER)
(209) 527-4631
Entity
Organization
Contact information
Practice address
1601 MCHENRY VILLAGE WAY, STE 10-A, MODESTO, CA 95350-4307
(209) 527-5727
(209) 527-4626
Mailing address
1601 MCHENRY VILLAGE WAY, STE 10-A, MODESTO, CA 95350-4307
(209) 527-5727
(209) 527-4626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39633
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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