Individual
MATTHEW N MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6710 S BLACKSTONE RD, STE 104, SALT LAKE CITY, UT 84121-6232
(801) 943-8703
Mailing address
6710 S BLACKSTONE RD, STE 104, SALT LAKE CITY, UT 84121-6232
(801) 943-8703
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
8576847-9924
UT
Other
Enumeration date
06/12/2009
Last updated
05/03/2019
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