Individual
MAGGIE CRUCIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
974 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5219
(407) 942-0225
Mailing address
214 VENETIAN BAY CIR, SANFORD, FL 32771-7980
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH24014
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH24014
LICENSE
FL
Enumeration date
04/17/2020
Last updated
04/17/2020
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