MEDICARE: WILLIAM H MARAS DDS PA

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	9459	FL

General Provider Information

NPI Number	:	1912952854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM H MARAS DDS PA

Provider Business Mailing Address
First Line	:	2521 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5204
Country	:	US
Telephone Number	:	561-694-0038
Fax Number	:	561-694-0990

Provider Business Practice Location Address
First Line	:	2521 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5204
Country	:	US
Telephone Number	:	561-694-0038
Fax Number	:	561-694-0990

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM H MARAS
Credential	:	DDS
Telephone Number	:	561-694-0038

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	06/18/2009

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