Individual provider · Type 1 NPI

Maria S. Fraser, DMD

Pediatric Dentistry · St. Augustine, FL

NPI number 1245329093 Active

Practice location

1100 S Ponce De Leon Blvd
St. Augustine, FL 32084-6099

Fax (904) 829-2338

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN14127 (FL)

Pediatric Dentistry: 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.

2 other providers at this address

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About NPI 1245329093

Maria S. Fraser, DMD's National Provider Identifier is 1245329093, issued on Oct 12, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 27, 2013.