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Individual

MR. JOHN BRETT BETTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
750 US HIGHWAY 11, SUITE 4, TRUSSVILLE, AL 35173-4391
(205) 467-2211
(205) 467-9744
Mailing address
750 HIGHWAY 11, SUITE 4, TRUSSVILLE, AL 35173-2877
(205) 467-2211
(205) 467-9744

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5069
AL

Other

Enumeration date
07/26/2006
Last updated
04/08/2008
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