Individual
MICHAEL DAVID MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4476 W VAN GIESEN ST, WEST RICHLAND, WA 99353-5411
(509) 967-3421
Mailing address
11013 W COURT ST, PASCO, WA 99301-6595
(509) 380-0504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60171326
WA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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