DR. Jacqueline Maddox

NPI #1497175897 in Bohemia, New York

Provider Information

NPI Number
1497175897
Entity Type
Individual
Name
DR. Jacqueline Maddox
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Apr 24, 2014
Last Updated
Aug 30, 2021

Practice Location

Address
1125 SMITHTOWN AVE
ZIP Code
11716-2160
Phone
(631) 589-8585

Specialties & Taxonomy Codes

Specialty
Dentist

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