Organization
ABERCORN DENTAL LLC
Active
Other names
Abercorn Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY DOUGLAS MAYNARD JR. DDS (DDS/OWNER)
(919) 606-1387
Entity
Organization
Contact information
Practice address
1310 ABERCORN ST, SAVANNAH, GA 31401-6902
(912) 234-0789
(912) 234-8704
Mailing address
1310 ABERCORN ST, SAVANNAH, GA 31401-6902
(912) 234-0789
(912) 234-8704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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