Individual
DR. LARRY LOUIS MAGGIORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3417 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8158
(941) 629-5597
Mailing address
3417 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8158
(941) 629-5597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN7925
LICENSE
FL
Enumeration date
05/04/2006
Last updated
07/08/2007
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