Organization
BRIAN L MAYNOR D.D.S., PLLC
Active
Other names
Crosscreek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LANIER MAYNOR DDS (DENTIST)
(252) 533-9300
Entity
Organization
Contact information
Practice address
523 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6447
(252) 533-9300
Mailing address
523 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6447
(252) 533-9300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10438
NC
Other
Enumeration date
04/21/2018
Last updated
04/21/2018
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