Individual
JUSTIN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5018 DORSEY HALL DR STE 105, ELLICOTT CITY, MD 21042-7856
(410) 740-7008
Mailing address
10015 GREEN VALLEY RD, UNION BRIDGE, MD 21791-8107
(240) 753-8034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17526
MD
Other
Enumeration date
06/17/2022
Last updated
08/05/2024
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