Cruciata, Maggie

Cruciata, Maggie is an individual health care provider with primary practice located at 974 International Pkwy , Lake Mary FL 32746-5219. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Cruciata, Maggie can be contacted via phone (407) 942-0225.

Contact Information

Primary practice address
974 International Pkwy Lake Mary FL 32746-5219
Phone: (407) 942-0225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH24014

Profile Details

NPI number 1659991974
LBN Legal business name Cruciata, Maggie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2020
Last updated Apr 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659991974 NPPES
Florida Other DH24014 LICENSE

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