DR. Diedra Louise Denton, DDS

NPI #1407958663 in Georgetown, Texas

Provider Information

NPI Number: 1407958663
Entity Type: Individual
Name: DR. Diedra Louise Denton, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1911 N AUSTIN AVE
Address 2: 505
City: Georgetown
State: Texas
ZIP Code: 78626-4543
Phone: (512) 869-0769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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