GLENN IAN MAZE

AUGUSTA, GA
NPI1740210855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: GA  DNF000332)
Enumeration Date2006-07-04
Last Update Date2007-07-09
Business Address
Dr. GLENN IAN MAZE DDS
1459 LANEY WALKER BLVD AD1501
AUGUSTA, GA 30912-0002
Phone number: 706-721-0505
Mailing Address
Dr. GLENN IAN MAZE DDS
1459 LANEY WALKER BLVD AD1501
AUGUSTA, GA 30912-0002
Phone number: 706-721-0505