Dr. Patrice Luzelle Ermita Mara is a Fort Irwin, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Patrice Luzelle Ermita Mara is DEN.00204040 for Dentistry in Colorado. Her current practice location is 171 Inner Loop Rd, Fort Irwin. Patients can reach her at 760-380-6179.
Dr. Patrice Luzelle Ermita Mara is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Patrice Luzelle Ermita Mara speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Patrice Luzelle Ermita Mara
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
171 Inner Loop Rd, Fort Irwin, California, 92310
Phone:
760-380-6179
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1932753647
NPI Enumeration Date:
31 Jul, 2019
NPI Last Update On:
14 Aug, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Patrice Luzelle Ermita Mara are as mentioned below.
License Number
Specialization
State
Status
DEN.00204040
Dentistry
Colorado
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
171 Inner Loop Rd, Fort Irwin, California
Zip:
92310
Phone Number:
760-380-6179
Patients can reach Dr. Patrice Luzelle Ermita Mara at 171 Inner Loop Rd, Fort Irwin, California or can call to book an appointment on 760-380-6179. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.