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Individual
WILLIAM MAXWELL WAHLE
Active
Individual
WILLIAM MAXWELL WAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09045
IA
1223P0700X
Prosthodontics
Primary
15922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15922
MARYLAND DENTAL BOARD
MD
Enumeration date
04/15/2016
Last updated
03/11/2020
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