Keith Lynn Mayberry, DDS
NPI #1467414508 in Indian Head, Maryland
Provider Information
- NPI Number
- 1467414508
- Entity Type
- Individual
- Name
- Keith Lynn Mayberry, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1600 W WILSON RD
- City
- Indian Head
- State
- Maryland
- ZIP Code
- 20640-1400
- Phone
- (301) 744-4601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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