NPI | 1841641040 |
---|---|
Doing Business As | GEORGETOWN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROY MAYNARD Owner 912-927-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN014449) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2016-06-29 |