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Individual

ROD P. MAXFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
31 W. 100 SO., SUITE A, PLEASANT GROVE, UT 84062
(801) 785-2631
(801) 785-7376
Mailing address
31 W. 100 SO., SUITE A, PLEASANT GROVE, UT 84062
(801) 785-2631
(801) 785-7376

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
325106-9922
UT

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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