Individual
MR. JEFFREY SCOTT PAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8112 MILLIKEN AVE SUITE 102, RANCHO CUCAMONGA, CA 91730
(909) 558-4671
Mailing address
8112 MILLIKEN AVE SUITE 102, RANCHO CUCAMONGA, CA 91730
(909) 558-4671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
65228
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
09/03/2020
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