Fraser, Maria S

Fraser, Maria S is an individual health care provider with primary practice located at 1100 S Ponce De Leon Blvd , St Augustine FL 32084-6099. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Fraser, Maria S can be contacted via phone (904) 829-6321.

Contact Information

Primary practice address
1100 S Ponce De Leon Blvd St Augustine FL 32084-6099
Fax: (904) 829-2338
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN14127 Florida

Profile Details

NPI number 1245329093
LBN Legal business name Fraser, Maria S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 27th, 2013 - about 11 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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