Individual
DR. WILLIS ELBERT MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14509 HORIZON BLVD, HORIZON CITY, TX 79928-8564
(915) 852-5111
(915) 852-1056
Mailing address
2034 PASEO DEL PRADO DR, EL PASO, TX 79936-3749
(915) 525-3737
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11040
TX
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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