Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Patrice Luzelle Ermita Mara, DMD

Individual provider Dentist · NPI 1932753647

Dr. Patrice Luzelle Ermita Mara, DMD is a Dentist in Fort Irwin, California. Works from 3 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

171 Inner Loop Rd
Fort Irwin, CA 92310
Phone: (760) 380-6179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 618th Dental Co, Apo, AP 96271-5245 — (315) 757-9186
  • 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 — (719) 526-5537

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00204040 (CO)

Record details

NPI number1932753647
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESAugust 14, 2025
Certification dateAugust 11, 2025

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