Maxine Mary Fotadar, D.D.S.
NPI #1952660326 in Planada, California
Provider Information
- NPI Number
- 1952660326
- Entity Type
- Individual
- Name
- Maxine Mary Fotadar, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 4, 2012
- Last Updated
- Oct 1, 2014
Practice Location
- Address
- 9235 E BROADWAY ST
- City
- Planada
- State
- California
- ZIP Code
- 95365-8088
- Phone
- (209) 382-0253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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