Individual
JIMMY RAY PATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 222-6424
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 222-6424
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D6040
AZ
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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