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NPI Code Detail

MEDICARE: MRS. MARGARET MAULEON NOVICIO DDS

MEDICARE: MRS. MARGARET MAULEON NOVICIO 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
11223G0001XGeneral Practice Dentistry62389CA

General Provider Information

NPI Number : 1073608089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET MAULEON NOVICIO DDS
Provider Business Mailing Address
First Line : 5531 CANCHA DE GOLF STE 102
Second Line :
City : RANCHO SANTA FE
State : CA
Zip : 92091-4625
Country : US
Telephone Number : 858-367-3058
Fax Number :
Provider Business Practice Location Address
First Line : 5531 CANCHA DE GOLF STE 102
Second Line :
City : RANCHO SANTA FE
State : CA
Zip : 92091-4625
Country : US
Telephone Number : 858-367-3058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 09/23/2021

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Directions to “ MRS. MARGARET MAULEON NOVICIO DDS” Practice Location

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