Individual
MS. DIANE C BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
655 7TH ST, 78TH MDG/SGHC, ROBINS AFB, GA 31098-2227
(478) 327-8487
(478) 327-8313
Mailing address
296 GREENTREE PKWY, MACON, GA 31220-3636
(478) 327-8487
(478) 327-8313
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH001891
GA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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