Individual
MAGGIE CRUCIATA
Active
Individual
MAGGIE CRUCIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
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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