Individual
DR. ANTONIA ROSE MAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 MOTOR PKWY, HAUPPAUGE, NY 11788-5256
(631) 348-1501
Mailing address
59 TITUS AVE, CARLE PLACE, NY 11514-1312
(516) 350-4502
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061885
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2019
Last updated
09/08/2021
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