Individual
DR. MARLICE ARCANGEL PATAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.D.
Contact information
Practice address
1115 MONTROSE AVE, SOUTH PASADENA, CA 91030-3435
(626) 394-4946
(626) 296-2779
Mailing address
1115 MONTROSE AVE, SOUTH PASADENA, CA 91030-3435
(626) 394-4946
(626) 296-2779
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
42757
CA
Other
Enumeration date
03/16/2007
Last updated
09/23/2010
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