DR. Kerry Redding Brantly, D.D.S.
NPI #1891800942 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1891800942
- Entity Type
- Individual
- Name
- DR. Kerry Redding Brantly, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 113 LIELMANIS AVE
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32544-5613
- Phone
- (850) 881-2337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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