Individual
DAVID S. MADDOX II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
36100 N BROOKSIDE DR, SUITE 207, GURNEE, IL 60031-4571
(847) 263-1801
Mailing address
36100 N BROOKSIDE DR, SUITE 207, GURNEE, IL 60031-4571
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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