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Individual

DR. ORBITO IGNACIO PATANGAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2700 BROAD RIVER RD, COLUMBIA, SC 29210-6055
(803) 621-0902
Mailing address
903 SEABROOK CT, LEXINGTON, SC 29072-7462
(619) 592-9247

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19727
MA
1223P0221X
Pediatric Dentistry
12011756A
IN
1223P0221X
Pediatric Dentistry
19727
MA
1223P0221X
Pediatric Dentistry
Primary
948
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201051750A
IN
Enumeration date
01/11/2006
Last updated
04/06/2020
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