Provider Demographics
NPI:1376898130
Name:GARUBBA, MARIA JOVANNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JOVANNA
Last Name:GARUBBA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:FERRARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1213 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1320
Mailing Address - Country:US
Mailing Address - Phone:610-838-0131
Mailing Address - Fax:
Practice Address - Street 1:1213 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1320
Practice Address - Country:US
Practice Address - Phone:610-838-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0391691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice