| NPI | 1679233407 |
|---|---|
| Doing Business As | DEREK PATAO DDS |
| Entity Type | Organization |
| Authorized Contact | DEREK H PATAO President 818-515-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-05-17 |