Organization
MAYNARD, LLC
Active
Other names
Georgetown Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY MAYNARD JR. DDS (OWNER)
(912) 927-8484
Entity
Organization
Contact information
Practice address
821 KING GEORGE BLVD, SUITE A, SAVANNAH, GA 31419-8328
(912) 927-8484
(912) 927-8487
Mailing address
PO BOX 13989, SAVANNAH, GA 31416-0989
(912) 927-8484
(912) 927-8487
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014449
GA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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