| Maksim Dentistry, Apc | |
|
630 S Melrose Dr Vista CA 92081-6624 | |
| (760) 726-5703 | |
| (760) 726-5704 |
| Full Name | Maksim Dentistry, Apc |
|---|---|
| Speciality | Dentist |
| Location | 630 S Melrose Dr, Vista, California |
| Authorized Official Name and Position | Michael Maksim (CFO) |
| Authorized Official Contact | 7607265703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maksim Dentistry, Apc 630 S Melrose Dr Vista CA 92081-6624 Ph: (760) 726-5703 | Maksim Dentistry, Apc 630 S Melrose Dr Vista CA 92081-6624 Ph: (760) 726-5703 |
| NPI Number | 1649098187 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649098187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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