Organization
GEORGE MADDOX, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WESTON MADDOX II D.D.S. (PRESIDENT)
(949) 548-5029
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE, SUITE 100, NEWPORT BEACH, CA 92663-2716
(949) 548-5029
Mailing address
320 SUPERIOR AVE, SUITE 100, NEWPORT BEACH, CA 92663-2716
(949) 548-5029
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25741
CA
Other
Enumeration date
03/29/2006
Last updated
09/23/2013
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