DR. Ashley Maxam, DMD

NPI #1124259130 in Marion, Illinois

Provider Information

NPI Number
1124259130
Entity Type
Individual
Name
DR. Ashley Maxam, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 7, 2009
Last Updated
Oct 21, 2011

Practice Location

Address
1501 S CARBON ST
City
Marion
ZIP Code
62959-1435
Phone
(618) 997-7273

Specialties & Taxonomy Codes

Specialty
Dentist

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