MEDICARE: DR. MARIA P. SAUNDERS 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	122300000X	Dentist	DN19119	FL

General Provider Information

NPI Number	:	1205148228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA P. SAUNDERS D.M.D

Provider Business Mailing Address
First Line	:	560 SW 182ND WAY
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-4319
Country	:	US
Telephone Number	:	954-431-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	3012 E COMMERCIAL BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4356
Country	:	US
Telephone Number	:	954-491-7100
Fax Number	:

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

Provider Enumeration Date	:	07/07/2010
Last Update Date	:	07/09/2010

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