Douglas Maxson
NPI #1023666989 in San Jose, California
Provider Information
- NPI Number
- 1023666989
- Entity Type
- Organization
- Organization Name
- Douglas Maxson
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Sep 3, 2019
Practice Location
- Address
- 1198 S DE ANZA BLVD
- City
- San Jose
- State
- California
- ZIP Code
- 95129-3632
- Phone
- (408) 996-0176
Authorized Official
- Name
- DOUGLAS MAXSON
- Title
- OWNER
- Phone
- (408) 996-0176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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