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MAURO PEDRINE SANTAMARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-3557
(606) 439-1422
Mailing address
1095 VETERANS DR OFFICE 406B, LEXINGTON, KY 40536-0305
(443) 563-7917

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10855
KY
1223G0001X
General Practice Dentistry
10855
KY
1223P0300X
Periodontics
Primary
10855
KY

Other

Enumeration date
10/26/2022
Last updated
04/18/2025
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