George Maddox, Dds, Inc | |
320 Superior Ave Suite 100 Newport Beach CA 92663-2716 | |
(949) 548-5029 | |
Not Available |
Full Name | George Maddox, Dds, Inc |
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Speciality | Clinic/center - Dental |
Location | 320 Superior Ave, Newport Beach, California |
Authorized Official Name and Position | George Weston Maddox (PRESIDENT) |
Authorized Official Contact | 9495485029 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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George Maddox, Dds, Inc 320 Superior Ave Suite 100 Newport Beach CA 92663-2716 Ph: (949) 548-5029 | George Maddox, Dds, Inc 320 Superior Ave Suite 100 Newport Beach CA 92663-2716 Ph: (949) 548-5029 |
NPI Number | 1689635708 |
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Provider Enumeration Date | 03/29/2006 |
Last Update Date | 09/23/2013 |
Identifier | Type | State | Issuer |
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1689635708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 25741 (California) | Primary |
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