| NPI | 1598782310 | 
|---|---|
| Former Legal Business Name | DAVID H. BRANTLEY, D.D.S.,P.C. | 
| Entity Type | Organization | 
| Authorized Contact | DAVID H. BRANTLEY President 706-863-7351  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN009622)  | 
| Enumeration Date | 2006-07-16 | 
| Last Update Date | 2020-08-22 |