Individual
SHANE MICHAEL MAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20800 W MARKET ST STE 107, BUCKEYE, AZ 85396-8040
(480) 650-9798
Mailing address
1601 E POTTER DR, PHOENIX, AZ 85024-4334
(480) 650-9798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010882
AZ
Other
Enumeration date
10/01/2020
Last updated
01/06/2026
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