Individual
DAVID BRANTLEY GENTRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-2559
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-2559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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