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NPI Code Detail

MEDICARE: DR. WILLIAM MA D.M.D.

MEDICARE: DR. WILLIAM MA 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
11223G0001XGeneral Practice DentistryDN0014330FL

General Provider Information

NPI Number : 1912033309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM MA D.M.D.
Provider Business Mailing Address
First Line : 4397 NORTHLAKE BLVD
Second Line : SUITE 202
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6253
Country : US
Telephone Number : 561-622-8013
Fax Number : 561-622-5874
Provider Business Practice Location Address
First Line : 4397 NORTHLAKE BLVD
Second Line : SUITE 202
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6253
Country : US
Telephone Number : 561-622-8013
Fax Number : 561-622-5874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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