Individual
DR. DONNA M. GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
315 MCHUGH BLVD, 2D DENBN/NDC, CAMP LEJEUNE, NC 28547-2511
(910) 451-2208
(910) 451-8036
Mailing address
315 MCHUGH BLVD, 2D DENBN/NDC, CAMP LEJEUNE, NC 28547-2511
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8812
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2007
Last updated
05/07/2008
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