Organization
WAYNE S. MARIS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE MARIS (OWNER)
(229) 423-9237
Entity
Organization
Contact information
Practice address
171 PERRY HOUSE RD, PO DRAWER 1009, FITZGERALD, GA 31750-8837
(229) 423-9237
Mailing address
171 PERRY HOUSE RD, PO DRAWER 1009, FITZGERALD, GA 31750-8837
(229) 423-9237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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