Provider Demographics
NPI:1427199397
Name:TURLEY, PATRICK K (DDS MSD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:K
Last Name:TURLEY
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3104 THE STRAND
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3953
Mailing Address - Country:US
Mailing Address - Phone:310-546-5097
Mailing Address - Fax:310-546-5097
Practice Address - Street 1:14650 AVIATION BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6656
Practice Address - Country:US
Practice Address - Phone:310-546-5097
Practice Address - Fax:310-546-5097
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA250381223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology