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Organization

PATAO DENTAL CORPORATION

Active
Other names
Derek Patao DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEREK H PATAO DDS (PRESIDENT)
(818) 515-4386
Entity
Organization

Contact information

Practice address
932 N BRAND BLVD STE A, GLENDALE, CA 91202-2905
(818) 843-4322
Mailing address
932 N BRAND BLVD STE A, GLENDALE, CA 91202-2905

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/20/2021
Last updated
05/17/2023
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