Individual
DR. DAVID H. BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
495 FURYS FERRY RD, MARTINEZ, GA 30907-8221
(706) 863-7351
(706) 863-2585
Mailing address
495 FURYS FERRY RD, MARTINEZ, GA 30907-8221
(706) 863-7351
(706) 863-2585
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN009622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000279188A
—
GA
05
—
000279188B
—
GA
01
—
9180554
DORAL
GA
Enumeration date
07/21/2006
Last updated
07/08/2007
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