Individual
DR. CARLA MARIE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5958 CANTON CENTER RD, STE 400 CREST EXPRESSIONS DENTAL CENTERS, BLOOMFIELD HILLS, MI 48304
(234) 451-9570
(734) 451-9574
Mailing address
300 E LONG LAKE, STE 311 CREST EXPRESSIONS DENTAL CENTERS, BLOOMFIELD HILLS, MI 48304
(248) 203-1119
(248) 723-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018110
MI
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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