DR. Mary H. Patuwo, D.D.S.

NPI #1760679716 in La Mirada, California

Provider Information

NPI Number: 1760679716
Entity Type: Individual
Name: DR. Mary H. Patuwo, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 3, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 14796 BEACH BLVD
City: La Mirada
State: California
ZIP Code: 90638-4217
Phone: (714) 562-0402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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