Most Relevant Information
Provider Data
| NPI Number: | 1003577230 |
| Provider Name: | MARITZA BLACKSHAW RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | DH10530 |
Most Important Dates
| Enumeration Date: | 01/10/2022 |
| Last Updated: | 01/10/2022 |
Provider Practice Location
7870 WOODLAND CENTER BLVD
TAMPA
FL
336142409
Practice Location Phone/Fax
| Phone: | 3862415185 |
| Fax: |
Provider Mailing Location
7870 WOODLAND CENTER BLVD
TAMPA
FL
336142409
Provider Mailing Phone/Fax
| Phone: | 3862415185 |
| Fax: |