NPI 1003535030

Maria Mancuso

Practitioner Dental Hygienist Port St Lucie, FL

Practice location

Address: 11714 SW Westcliffe Ln, Port St Lucie, FL 34987-2106
Phone: (631) 278-3397

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 017103-01 (NY)

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Registry record

NPI: 1003535030
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2022
Record last updated: 23 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.