Doctor Name: | MAUREEN Q MARGOLIS |
NPI Number: | 1205209640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DN19347 |
Business Practice Address: | 779 Main St Wilbraham, MA - 010952652 |
Business Phone Number: | 4135968226 |
Business Fax Number: | |
Mailing Address: | 779 Main St, WILBRAHAM |
State: | MA |
Postal Code: | 010952652 |
Phone Number: | 4135968226 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN19347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |