Individual
WILLIAM MAXWELL WAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MS
Contact information
Practice address
110 WEST RD STE 200, TOWSON, MD 21204-2341
(410) 296-0136
Mailing address
110 WEST RD STE 200, TOWSON, MD 21204-2341
(410) 296-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09045
IA
1223P0700X
Prosthodontics
Primary
15922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15922
MARYLAND DENTAL BOARD
MD
Enumeration date
04/15/2016
Last updated
03/11/2020
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