Individual
JOELYZ PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3650 NW 82ND AVE STE 204-05, DORAL, FL 33166-6658
(305) 722-0605
Mailing address
4525 W 20TH AVE APT C328, HIALEAH, FL 33012-2804
(305) 820-9383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18786
FL
Other
Enumeration date
06/25/2009
Last updated
06/28/2009
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