Marcie Mliss Maxham, DDS
NPI #1568594216 in Fort Bragg, California
Provider Information
- NPI Number
- 1568594216
- Entity Type
- Individual
- Name
- Marcie Mliss Maxham, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 205 SOUTH STREET
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5540
- Phone
- (707) 964-1251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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