Individual
DR. AUSTIN W. MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17205 FALSTAFF LN, OLNEY, MD 20832-2909
(301) 570-9144
(301) 570-9144
Mailing address
17205 FALSTAFF LN, OLNEY, MD 20832-2909
(301) 570-9144
(301) 570-9144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008514
VA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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