Provider Demographics
NPI:1346438314
Name:CORREA, MARGARITA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:MARIA
Last Name:CORREA
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 1:1701 STILLHOUSE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-7202
Mailing Address - Country:US
Mailing Address - Phone:972-886-5493
Mailing Address - Fax:
Practice Address - Street 1:4431 W. WALNUT STREET SUITE A
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042
Practice Address - Country:US
Practice Address - Phone:972-731-9800
Practice Address - Fax:972-731-9801
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice