Individual
BETHANY DEANN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
Mailing address
16192 N HIGHWAY 59, SILOAM SPRINGS, AR 72761-8576
(479) 228-2312
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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