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NPI Code Detail

MEDICARE: DANIEL L MAHER DDS

MEDICARE: DANIEL L MAHER 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
1122300000XDentist28196CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063662427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL L MAHER DDS
Provider Business Mailing Address
First Line : 4400 CUTLER AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3935
Country : US
Telephone Number : 505-875-8555
Fax Number :
Provider Business Practice Location Address
First Line : 4400 CUTLER AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3935
Country : US
Telephone Number : 505-875-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2008
Last Update Date : 03/11/2011

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