Individual provider · Type 1 NPI

Jesus Isaac Patino Jr., DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · San Ramon, CA

NPI number 1093069809 Active

Practice location

9301 Fircrest Ln Ste 1
San Ramon, CA 94583-3960

Fax (925) 828-6996

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	62381 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1093069809

Jesus Isaac Patino Jr., DDS, MS's National Provider Identifier is 1093069809, issued on Oct 31, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Ramon, CA. The record was last updated on Sep 20, 2021.