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Dr. Maria S Fraser, DMD
Pediatric Dentist in St Augustine, Florida
NPI 1245329093

Maria S Fraser is a Pediatric Dentist based in St Augustine, FL and is specialized in Pediatric Dentistry. Maria S Fraser practices in St Augustine, FL and has the professional credentials of DMD. The NPI Number for Maria S Fraser is 1245329093 and holds a License No. DN14127 (Florida).

The current practice location address for Maria S Fraser is 1100 S Ponce De Leon Blvd, St Augustine, FL and can be reached out via phone at 904-829-6321 and via fax at 904-829-2338.

Location: 1100 S Ponce De Leon Blvd, St Augustine, FL, 32084-6099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245329093
Provider Name
Maria S Fraser
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1100 S Ponce De Leon Blvd, St Augustine, FL, 32084-6099
Phone Number
904-829-6321
Fax Number
904-829-2338
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 S Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-6099
Phone Number
904-829-6321
Fax Number
904-829-2338
person
Provider Business Mailing Address Details
Address
1100 S Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-6099
Phone Number
904-829-6321
Fax Number
904-829-2338
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN14127 (Florida)
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.
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