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 |