KERRY REDDING BRANTLY

HURLBURT FIELD, FL
NPI1891800942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901019216)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
Dr. KERRY REDDING BRANTLY D.D.S.
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-881-2337
Mailing Address
Dr. KERRY REDDING BRANTLY D.D.S.
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-881-2337