Individual
DR. JUSTIN MATTHEW PARENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1459 LANEY WALKER BLVD, AD2901 SCHOOL OF DENTISTRY, AUGUSTA, GA 30912-1244
(706) 721-2151
Mailing address
1459 LANEY WALKER BLVD, AD2901 SCHOOL OF DENTISTRY, AUGUSTA, GA 30912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013715
GA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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