Individual provider · Type 1 NPI

Mauricio Marcushamer, DDS

Pediatric Dentistry · San Antonio, TX

NPI number 1699842690 Active

Practice location

3006 Broadway Ste 103
San Antonio, TX 78209-1561

Call (210) 225-8888 Map

Fax (210) 225-4195

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X18580 (TX)

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.

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About NPI 1699842690

Mauricio Marcushamer, DDS's National Provider Identifier is 1699842690, issued on Nov 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Antonio, TX. The record was last updated on Jan 25, 2024.