Provider Demographics
NPI:1023221330
Name:ESCOTO, MARIA DOLORES (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DOLORES
Last Name:ESCOTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2895 COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4407
Mailing Address - Country:US
Mailing Address - Phone:305-535-2225
Mailing Address - Fax:305-535-2988
Practice Address - Street 1:2895 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33140-4407
Practice Address - Country:US
Practice Address - Phone:305-535-2225
Practice Address - Fax:305-535-2988
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13884122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist