Individual
PATRICIO ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEDIATRIC DENTIST
Contact information
Practice address
397 E ST, STE #A, CHULA VISTA, CA 91910
(619) 425-9930
(619) 425-9887
Mailing address
397 E ST, STE #A, CHULA VISTA, CA 91910
(619) 425-9930
(619) 425-9887
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
55782
CA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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