Provider Demographics
NPI:1427224021
Name:PAHIGIANIS-WILSON, MARIA GIKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:GIKA
Last Name:PAHIGIANIS-WILSON
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 1:6929 ASHTON ST
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6044
Mailing Address - Country:US
Mailing Address - Phone:561-733-7476
Mailing Address - Fax:
Practice Address - Street 1:6929 ASHTON ST
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6044
Practice Address - Country:US
Practice Address - Phone:561-733-7476
Practice Address - Fax:561-733-7476
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN180841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice