Charles B. Maxwell, Dmd, PA
NPI #1851345557 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1851345557
- Entity Type
- Organization
- Organization Name
- Charles B. Maxwell, Dmd, PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 144 EAST BROADWAY ST.
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555-0297
- Phone
- (843) 386-2833
Authorized Official
- Name
- DR. CHARLES B MAXWELL, DMD
- Title
- OWNER
- Phone
- (843) 386-2833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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