Organization
PATRICIA PATINO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLE PATRICIA PATINO DDS (PRESIDENT)
(760) 740-5979
Entity
Organization
Contact information
Practice address
301 S JUNIPER STREET, ESCOUDIDO, GA 92025
(760) 740-5979
(760) 740-0612
Mailing address
301 S JUNIPER STREET, ESCOUDIDO, GA 92025
(760) 740-5979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51637
CA
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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