MEDICARE: MAUREEN LIMOSNERO 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
1	1223G0001X	General Practice Dentistry	D7681	OR
2	122300000X	Dentist	28653	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	911019392	OTHER		COMMERCIAL

General Provider Information

NPI Number	:	1407945876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN LIMOSNERO DDS

Provider Business Mailing Address
First Line	:	6255 W SUNSET BLVD FL 21
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7422
Country	:	US
Telephone Number	:	323-860-5200
Fax Number	:	323-467-7119

Provider Business Practice Location Address
First Line	:	400 N BEACH ST STE 100
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76111-7070
Country	:	US
Telephone Number	:	817-916-5237
Fax Number	:	817-916-4660

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/15/2025

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Directions to “ MAUREEN LIMOSNERO DDS” Practice Location

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