Individual
DR. BILL KIRK MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1434 PORTER STREET, USA DENTAL CLINIC, FT DETRICK, MD 21702
(301) 619-7675
Mailing address
5159 DOWNWEST RIDE, COLUMBIA, MD 21044-1505
(410) 730-5127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-017386
OH
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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