Individual
MARIO DANIEL PATRITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8708 JUSTICE AVE, SUITE 2-K, ELMHURST, NY 11373-4575
(718) 424-1900
(310) 540-7579
Mailing address
8708 JUSTICE AVE, SUITE 2-K, ELMHURST, NY 11373-4575
(718) 424-1900
(310) 540-7579
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039896-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
38347
CA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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