| NPI | 1053464560 |
|---|---|
| Other Name | CLYDE A. MAXWELL JR., PA |
| Doing Business As | MAXWELLNESS MD HEALTH |
| Entity Type | Organization |
| Authorized Contact | CLYDE A MAXWELL Dentist 302-476-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0001159) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-06-29 |