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Individual
MICHAEL L MADDOX
Active
Individual
MICHAEL L MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3781
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90799
BCBS
AL
01
—
94255
BCBS
AL
Enumeration date
05/01/2007
Last updated
12/16/2014
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