Individual
MAXWELL JACOB WATZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
707 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2533
(248) 548-6110
(248) 548-6110
Mailing address
707 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2533
(248) 548-6110
(248) 548-2718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602359
MI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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