Individual provider · NPI-1

Maria Fanny Amarillo, DDS

Dentist · Plantation, FL

NPI number1245344175
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1245344175
Entity type
Individual (NPI-1)
Name
Mrs. Maria Fanny Amarillo
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN0012259FLYes

Practice location

7807 Sw 6th Ct
Plantation, FL 33324

Phone 954-472-8844 · Fax 954-472-8001

Mailing address

7807 Sw 6th Ct
Plantation, FL 33324

Phone 954-472-8844 · Fax 954-472-8001

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