MEDICARE: MARGARET G. MCINERNEY D.M.D.

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
1	1223G0001X	General Practice Dentistry	59834	CA

General Provider Information

NPI Number	:	1083914642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET G. MCINERNEY D.M.D.

Provider Business Mailing Address
First Line	:	7276 RICKS DR
Second Line	:
City	:	VALLEY SPRINGS
State	:	CA
Zip	:	95252-9654
Country	:	US
Telephone Number	:	209-256-2743
Fax Number	:

Provider Business Practice Location Address
First Line	:	7276 RICKS DR
Second Line	:
City	:	VALLEY SPRINGS
State	:	CA
Zip	:	95252-9654
Country	:	US
Telephone Number	:	209-256-2743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2010
Last Update Date	:	12/09/2010

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