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Individual

SANDRA PATTERSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
129 HILLCREST SHOPPING CTR, LOWER BURRELL, PA 15068-3504
(724) 337-7800
(724) 337-9982
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS035986
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009833460001
PA
05
1009833460003
PA
05
1009833460004
PA
05
1009833460005
PA
05
1009833460006
PA
05
1009833460008
PA
05
1009833460009
PA
05
1009833460010
PA
05
1009833460011
PA
05
1009833460012
PA
05
1009833460013
PA
05
1009833460014
PA
05
1009833460015
PA
Enumeration date
04/06/2006
Last updated
07/09/2007
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