Individual
DR. DAVID J MAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
205 E LYNWOOD DR, SYRACUSE, IN 46567-1945
(574) 457-3138
(574) 457-2739
Mailing address
205 E LYNWOOD DR, SYRACUSE, IN 46567-1945
(574) 457-3138
(574) 457-2739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009251
IN
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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