MR. MARK MADDOX, DDS

Dentist

Active Individual
NPI: 1679732432

Practice Address

18400 CHESTNUT ST
Tuolumne, CA 95379

Phone: (209) 928-4262

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 23849D (CA)

Frequently Asked Questions

NPI 1679732432 is the National Provider Identifier for MR. MARK MADDOX, DDS, a Dentist provider located in Tuolumne, CA. This NPI was enumerated on June 6, 2008.
MR. MARK MADDOX, DDS practices at 18400 CHESTNUT ST, Tuolumne, CA 95379.

Quick Facts

NPI
1679732432
Type
Individual
Enumerated
Jun 6, 2008
Last Updated
Jun 6, 2008

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