Individual
DR. GREGORY M. MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2633 SHIRLEY DR, JACKSON, MI 49201-8633
(517) 787-2516
(517) 787-7734
Mailing address
2633 SHIRLEY DR, JACKSON, MI 49201-8633
(517) 787-2516
(517) 787-7734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18256
MI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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