PATRICE LUZELLE ERMITA MARA

APO, AP
NPI1932753647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  DEN.00204040)
Enumeration Date2019-07-31
Last Update Date2020-08-26
Business Address
Dr. PATRICE LUZELLE ERMITA MARA DMD
618TH DENTAL CO CARIUS DENTAL CLINIC BLDG P3020 ATTN: CREDENTIALS OFFIC
APO, AP 96271-5245
Phone number: 315-757-9186
Mailing Address
Dr. PATRICE LUZELLE ERMITA MARA DMD
618TH DENTAL CO CARIUS DENTAL CLINIC BLDG P3020 ATTN: CREDENTIALS OFFIC
APO, AP 96271-5245
Phone number: