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Organization
DUSTIN MAYRAND DMD PLLC
Active
Organization
DUSTIN MAYRAND DMD PLLC
Active
Other names
Advanced Dentistry of Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH MAYRAND (ADMINISTRATOR)
(859) 404-3947
Entity
Organization
Contact information
Practice address
230 CONNECTOR RD, GEORGETOWN, KY 40324-9722
(502) 642-5008
Mailing address
230 CONNECTOR RD, GEORGETOWN, KY 40324-9722
(502) 642-5008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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