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Individual
DR. MARY H. PATUWO
Active
Individual
DR. MARY H. PATUWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B36411-01
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659423226
CORP NPI
—
Enumeration date
10/03/2007
Last updated
10/03/2007
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