PATRICE LUZELLE ERMITA MARA

FORT IRWIN, CA
NPI1932753647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  DEN.00204040)
Enumeration Date2019-07-31
Last Update Date2025-08-14
Business Address
Dr. PATRICE LUZELLE ERMITA MARA DMD
171 INNER LOOP RD
FORT IRWIN, CA 92310
Phone number: 760-380-6179
Mailing Address
Dr. PATRICE LUZELLE ERMITA MARA DMD
171 INNER LOOP RD
FORT IRWIN, CA 92310
Phone number: 760-380-6179
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