Individual
DR. RAYMOND MICHAEL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.S.
Contact information
Practice address
770 W MAIN ST, MONROE, WA 98272-2108
(360) 805-0900
(360) 794-6891
Mailing address
770 W MAIN ST, MONROE, WA 98272-2108
(360) 805-0900
(360) 794-6891
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006485
WA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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