Organization
DUSTIN MAYRAND DMD PLLC
Active
Other names
Advanced Dentistry of Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH MAYRAND (ADMINISTRATOR)
(859) 404-3947
Entity
Organization
Contact information
Practice address
230 CONNECTOR RD, GEORGETOWN, KY 40324-9722
(502) 642-5008
Mailing address
230 CONNECTOR RD, GEORGETOWN, KY 40324-9722
(502) 642-5008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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