Mary H. Patuwo, D.D.S.

Dentist · La Mirada, CA

Individual Active NPI

NPI number 1760679716

Practice location

14796 Beach Blvd
La Mirada, CA 90638-4217
Phone
(714) 562-0402
Fax
(714) 562-0248

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NPI record

NPI
1760679716
Entity type
Individual (Type 1)
Enumeration date
October 3, 2007
Last updated
October 3, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X B36411-01 CA

About Dr. Patuwo

Mary H. Patuwo, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 14796 Beach Blvd, La Mirada, CA 90638-4217. The NPI number 1760679716 was assigned on October 3, 2007 and the record was last updated on October 3, 2007.

Dr. Patuwo lists a license in the registry: #B36411-01 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary H. Patuwo, D.D.S.?

The NPI number is 1760679716.

What is the phone number of Dr. Patuwo?

The phone number listed for the practice location is (714) 562-0402.

Where is Dr. Patuwo located?

14796 Beach Blvd, La Mirada, CA 90638-4217.

What is the taxonomy code for Dr. Patuwo?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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