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General NPI Number Information
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NPI Number | 1831050236
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Entity Type | Organization
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Legal Business Name | JESUS I. PATINO JR., DDS, MS, INC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 9301 FIRCREST LN STE 1
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City | SAN RAMON
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State | CA
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Zip | 94583-3960
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Country | US
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Telephone | 925-828-6972
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Fax | 925-828-6996
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Provider Business Mailing Address
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Address Line | 9301 FIRCREST LN STE 1
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City | SAN RAMON
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State | CA
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Zip | 94583-3960
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Country | US
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Telephone | 925-828-6972
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Fax | 925-828-6996
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JESUS ISAAC PATINO JR.
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Credential | DDS, MS
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Telephone | 925-828-6972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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