Individual
DR. DIEDRA LOUISE DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1911 N AUSTIN AVE, 505, GEORGETOWN, TX 78626-4543
(512) 869-0769
(512) 864-2444
Mailing address
1911 N AUSTIN AVE, 505, GEORGETOWN, TX 78626
(512) 869-0769
(512) 864-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D18792
TX
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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