Individual
DR. DAVID WILLIS BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
495 FURYS FERRY RD, MARTINEZ, GA 30907-8221
(706) 825-6196
Mailing address
495 FURYS FERRY RD, MARTINEZ, GA 30907-8221
(706) 825-6196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014795
GA
Other
Enumeration date
06/26/2014
Last updated
04/12/2017
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