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Individual

DR. ELISSA K MAYNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532
(360) 330-9595
(360) 330-9560
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60178729
WA

Other

Enumeration date
08/23/2010
Last updated
06/05/2018
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