Individual
DR. DWAYNE J. PATRITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., P.L.C.
Contact information
Practice address
727 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2153
(641) 682-8143
(641) 682-8144
Mailing address
486 E ROCHESTER RD, OTTUMWA, IA 52501-1130
(641) 684-5408
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7477
IA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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