Individual
DR. MAXWELL ROSS MANBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2891 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 17059-9077
(717) 436-5631
Mailing address
2891 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 17059-9077
(717) 436-5631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-027671-L
PA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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