MEDICARE: DR. FERNANDO APOLINARIO MARAVI 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	122300000X	Dentist	045608-1	NY

General Provider Information

NPI Number	:	1790772648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERNANDO APOLINARIO MARAVI DDS

Provider Business Mailing Address
First Line	:	900 17TH ST S
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2602
Country	:	US
Telephone Number	:	610-299-1673
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 17TH ST S
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2602
Country	:	US
Telephone Number	:	610-299-1673
Fax Number	:

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	04/19/2011

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Directions to “ DR. FERNANDO APOLINARIO MARAVI DDS” Practice Location

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