DR. Nicolas Tanner Maxim, DMD

NPI #1972118396 in Beaverton, Oregon

Provider Information

NPI Number: 1972118396
Entity Type: Individual
Name: DR. Nicolas Tanner Maxim, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 11, 2020
Last Updated: Sep 9, 2022

Practice Location

Address: 14845 SW MURRAY SCHOLLS DR STE 113
City: Beaverton
State: Oregon
ZIP Code: 97007-9237
Phone: (503) 590-7574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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