Provider Demographics
NPI:1295955060
Name:EMIGH, PATRICK ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ALAN
Last Name:EMIGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5500 E ATHERTON ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4016
Mailing Address - Country:US
Mailing Address - Phone:562-493-2403
Mailing Address - Fax:562-598-4904
Practice Address - Street 1:5500 E ATHERTON ST
Practice Address - Street 2:SUITE 430
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4016
Practice Address - Country:US
Practice Address - Phone:562-493-2403
Practice Address - Fax:562-598-4904
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA53061122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist