MEDICARE: MARIA TOIRAC D.D.S

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	DN17931	FL

General Provider Information

NPI Number	:	1790987543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA TOIRAC D.D.S

Provider Business Mailing Address
First Line	:	1910 SW 123RD AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1167
Country	:	US
Telephone Number	:	305-229-8034
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 SW 123RD AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1167
Country	:	US
Telephone Number	:	305-229-8034
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	07/08/2007

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