DR. Patrice Luzelle Ermita Mara, DMD
NPI #1932753647 in Fort Irwin, California
Provider Information
- NPI Number
- 1932753647
- Entity Type
- Individual
- Name
- DR. Patrice Luzelle Ermita Mara, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Aug 14, 2025
Practice Location
- Address
- 171 INNER LOOP RD
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310
- Phone
- (760) 380-6179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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