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Individual

DR. DAVID PAUL MAXWELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
711 N PIKE ST, GRAFTON, WV 26354-1221
(304) 265-4600
Mailing address
150 BIRDS EYE VIEW DR, MORGANTOWN, WV 26501-2297
(304) 439-1819

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4572
WV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2022
Last updated
06/06/2022
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