Individual
DR. STAN LAWRENCE RENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
41 OLD SCHOOL RD, GEORGETOWN, GA 39854-4627
(229) 334-5515
Mailing address
111 E GORDON ST, VALDOSTA, GA 31601-4554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013769
GA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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