Individual
DR. MCKENZIE MAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7310 WOODWARD AVE STE 400, DETROIT, MI 48202-3165
(734) 998-9640
Mailing address
25225 W 7 MILE RD, REDFORD, MI 48240-1462
(248) 320-0438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022034
MI
Other
Enumeration date
08/24/2016
Last updated
04/05/2018
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