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NPI Code Detail

MEDICARE: MARIA C CHACIN

MEDICARE: MARIA C CHACIN
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
1122300000XDentistDN24493FL

General Provider Information

NPI Number : 1609307917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA C CHACIN
Provider Business Mailing Address
First Line : 416 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-5529
Country : US
Telephone Number : 954-457-8288
Fax Number : 954-457-8288
Provider Business Practice Location Address
First Line : 416 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-5529
Country : US
Telephone Number : 954-457-8288
Fax Number : 954-457-8288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 02/11/2026

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Directions to “ MARIA C CHACIN ” Practice Location

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