MAXWELL THEODORE DISMUKE

REDWAY, CA
NPI1235098005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  112497)
Enumeration Date2026-01-19
Last Update Date2026-09-03
Business Address
MAXWELL THEODORE DISMUKE DDS
217 BRICELAND THORN RD
REDWAY, CA 95560
Phone number: 707-923-2783
Mailing Address
MAXWELL THEODORE DISMUKE DDS
PO BOX 769
REDWAY, CA 95560-0769
Phone number: 707-923-2783
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