| 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 |