Dr Daniel J Patti D.m.d., PA

NPI #1205138708 in Brookhaven, Mississippi

Provider Information

NPI Number: 1205138708
Entity Type: Organization
Organization Name: Dr Daniel J Patti D.m.d., PA
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2010
Last Updated: Dec 3, 2010

Practice Location

Address: 439 NORTH JACKSON ST.
Address 2: SUITE E
City: Brookhaven
State: Mississippi
ZIP Code: 39601-2912
Phone: (601) 833-0777

Authorized Official

Name: DR. DANIEL J PATTI, D.M.D.
Title: OWNER
Phone: (601) 833-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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