Provider Demographics
NPI:1114277407
Name:DELGADO, MARIANNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIANNA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIANA
Other - Middle Name:
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9335 ADAGIO LANE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040
Mailing Address - Country:US
Mailing Address - Phone:713-269-6752
Mailing Address - Fax:
Practice Address - Street 1:9335 ADAGIO LANE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040
Practice Address - Country:US
Practice Address - Phone:713-269-6752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics