Individual
MAX RODEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
911 BROADWAY ST, HAMILTON, IL 62341-1436
(217) 847-3900
(217) 847-6684
Mailing address
911 BROADWAY ST, HAMILTON, IL 62341-1436
(217) 847-3900
(217) 847-6684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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