Martin Edmund Maxon D.D.S

NPI 1477769388 - Dentist - 1223G0001X

NPI Details
NPI 1477769388
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
102 W MAIN ST
SAFFORD AZ, 85546-2347, US
Phone (928) 428-4255
Fax (928) 428-4269
Business Location
102 W MAIN ST
SAFFORD AZ, 85546-2347, US
Phone (928) 428-4255
Fax (928) 428-4269
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number D3412
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According to our database, Dr. Martin Edmund Maxon D.D.S NPI is 1477769388, taxonomy code is 1223G0001X and license number is D3412, license state is located at Arizona. Martin Edmund Maxon D.D.S physically located at 102 W Main St, Safford AZ, 85546-2347. NPI Number Martin Edmund Maxon D.D.S has the Individual type.

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1477769388 NPI number is provided on an as is basis without warranty of any kind. 1477769388 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Edmund Maxon D.D.S are for informational purposes only.