DEANNA MARIE MADDOX BROTHERS

SOUTH LAKE TAHOE, CA
NPI1750435152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  036732)
Additional Taxonomies122300000X Dentist
(Licence: NV  4773T)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
DEANNA MARIE MADDOX BROTHERS DDS
937 SAN FRANCISCO AVE
SOUTH LAKE TAHOE, CA 96150
Phone number: 530-544-2441
Mailing Address
DEANNA MARIE MADDOX BROTHERS DDS
PO BOX 8979 937 SAN FRANCISCO AVE
SOUTH LAKE TAHOE, CA 96158
Phone number: 530-544-2441
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