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1740210855
GLENN IAN MAZE
AUGUSTA, GA
NPI
1740210855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: GA DNF000332)
Enumeration Date
2006-07-04
Last Update Date
2007-07-09
Business Address
Dr. GLENN IAN MAZE DDS
1459 LANEY WALKER BLVD AD1501
AUGUSTA, GA 30912-0002
Phone number: 706-721-0505
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Mailing Address
Dr. GLENN IAN MAZE DDS
1459 LANEY WALKER BLVD AD1501
AUGUSTA, GA 30912-0002
Phone number: 706-721-0505
Copy
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