Provider Demographics
NPI:1720278963
Name:AGRAMONTE, MARIA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:M
Last Name:AGRAMONTE
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 1:3934 SW 8TH STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-443-2455
Mailing Address - Fax:305-443-2455
Practice Address - Street 1:3934 SW 8TH STREET
Practice Address - Street 2:SUITE 304
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-443-2455
Practice Address - Fax:305-443-2455
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6268FLORIDABOARDOFDE1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice