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NPI Code Detail

MEDICARE: DR. MARIA KATHLEEN MANSET HERMANO-SORIANO DDS

MEDICARE: DR. MARIA KATHLEEN MANSET HERMANO-SORIANO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14450FL

General Provider Information

NPI Number : 1679525307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA KATHLEEN MANSET HERMANO-SORIANO DDS
Provider Business Mailing Address
First Line : 1912 W REYNOLDS ST
Second Line : SUITE A
City : PLANT CITY
State : FL
Zip : 33563-4700
Country : US
Telephone Number : 813-754-5142
Fax Number : 813-752-7196
Provider Business Practice Location Address
First Line : 1912 W REYNOLDS ST
Second Line : SUITE A
City : PLANT CITY
State : FL
Zip : 33563-4700
Country : US
Telephone Number : 813-754-5142
Fax Number : 813-752-7196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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