Individual
DR. ANN MARIE MAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2915 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6626
(817) 481-6553
Mailing address
2915 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6626
(817) 481-6553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027801
IL
1223G0001X
General Practice Dentistry
Primary
31564
TX
1223G0001X
General Practice Dentistry
DS0000011076
TN
Other
Enumeration date
09/29/2008
Last updated
02/11/2021
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