Mary Ann Maravillas, D.D.S. Valid NPI

Individual provider · Dentist · Berkeley, CA

NPI

1083051981

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

62001 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2013-05-31

Last updated

2016-02-01