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Organization
ABERCORN DENTAL LLC
Active
Organization
ABERCORN DENTAL LLC
Active
Other names
Abercorn Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY DOUGLAS MAYNARD JR. DDS (DDS/OWNER)
(919) 606-1387
Entity
Organization
Contact information
Practice address
1310 ABERCORN ST, SAVANNAH, GA 31401-6902
(912) 234-0789
(912) 234-8704
Mailing address
1310 ABERCORN ST, SAVANNAH, GA 31401-6902
(912) 234-0789
(912) 234-8704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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