Individual
SUSAN H MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
23 S MAIN ST, TRAVELERS REST, SC 29690-1830
(864) 836-8416
Mailing address
23 S MAIN ST, TRAVELERS REST, SC 29690-1830
(864) 836-8416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7141
SC
1223G0001X
General Practice Dentistry
AC5385578-R702
NC
Other
Enumeration date
06/21/2011
Last updated
08/21/2024
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