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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PATRICE LUZELLE ERMITA MARA, DMD

Active

DR. PATRICE LUZELLE ERMITA MARA, DMD is a Dentist healthcare provider located in FORT IRWIN, California. NPI 1932753647 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT IRWIN, CA

Registration Details

NPI Number
1932753647
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2019 (7.0434498994542 yrs)
Last Updated
Aug 14, 2025
License
DEN.00204040 (CO)

Practice Information

Address
171 INNER LOOP RD
FORT IRWIN, CA, 92310
Browse CA providers · Browse ZIP 92310
Phone
7603806179
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FORT IRWIN, CA

Name Credential NPI
DR. JORDAN H.Q. TRAN DMD 1710960620
DR. JAXIMILLIAN P BAYLOSIS DDS 1487841029
DR. GREGORY EDWARD LE DMD 1689998437
DR. SERGIO HERNANDEZ DDS 1316210859
SU MEI MAI 1487179743
DR. STEPHANIE CHUNG LEE DDS 1023597333
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.