Individual
MS. MARGARET MAURICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
37944 PASCO AVE, DADE CITY, FL 33525-4202
(352) 518-2000
(352) 567-0218
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-0218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029547700
MEDICAID FQHC
FL
01
—
029547796
MEDICAID DENTAL
FL
01
—
057724300
MEDICAID FEE FOR SERVICE
FL
05
—
071144600
—
FL
Enumeration date
08/29/2005
Last updated
05/25/2016
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