Provider Demographics
NPI:1497768907
Name:DEGRAW-SCHWARTZ, PATRICIA CECILE (DDS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CECILE
Last Name:DEGRAW-SCHWARTZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1122 E LINCOLN AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865
Mailing Address - Country:US
Mailing Address - Phone:714-282-2490
Mailing Address - Fax:714-282-2494
Practice Address - Street 1:1122 E LINCOLN AVE
Practice Address - Street 2:STE 104
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865
Practice Address - Country:US
Practice Address - Phone:714-282-2490
Practice Address - Fax:714-282-2494
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42415122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist