Provider Demographics
NPI:1629189063
Name:JULITA S PATIL DDS INC
Entity Type:Organization
Organization Name:JULITA S PATIL DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:925-689-2585
Mailing Address - Street 1:2991 TREAT BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3604
Mailing Address - Country:US
Mailing Address - Phone:925-689-2585
Mailing Address - Fax:925-691-5211
Practice Address - Street 1:2991 TREAT BLVD STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3604
Practice Address - Country:US
Practice Address - Phone:925-689-2585
Practice Address - Fax:925-691-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty