Individual
DR. KATHRYN WARD MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
Mailing address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011398
GA
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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