BRENT DEPTA

VALDOSTA, GA
NPI1649370339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: GA  012319)
Enumeration Date2006-09-23
Last Update Date2020-04-09
Business Address
BRENT DEPTA D.M.D.
2711 WINDEMERE DR
VALDOSTA, GA 31602-1696
Phone number: 229-247-0437
Mailing Address
BRENT DEPTA D.M.D.
2711 WINDEMERE DR
VALDOSTA, GA 31602-1696
Phone number: 229-247-0437
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