Individual
MEGAN RAE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6790
Mailing address
3023 STANFORD DR, BILLINGS, MT 59102-0755
(406) 850-3838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001473-15
WI
Other
Enumeration date
04/08/2024
Last updated
05/31/2024
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