Individual provider · Type 1 NPI
Maria G. Patino, D.D.S, M.S.
Periodontics · Chicago, IL
NPI number
1669489118
Active
Practice location
1411 W Irving Park Rd
Chicago, IL 60613-1920
Mailing address
125 E 13th St, Unit 1405
Chicago, IL 60605-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 019-026187 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1669489118
Maria G. Patino, D.D.S, M.S.'s National Provider Identifier is 1669489118, issued on Aug 1, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.