MR. Mark Glenn Maddox, DDS
NPI #1679732432 in Tuolumne, California
Provider Information
- NPI Number
- 1679732432
- Entity Type
- Individual
- Name
- MR. Mark Glenn Maddox, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 6, 2008
- Last Updated
- Jun 6, 2008
Practice Location
- Address
- 18400 CHESTNUT ST
- City
- Tuolumne
- State
- California
- ZIP Code
- 95379
- Phone
- (209) 928-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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