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Individual

DR. CARNEISHA SYMONE CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4039 80TH ST STE C, KENOSHA, WI 53142-4959
(262) 694-9606
Mailing address
475 RUSSET HILL RD, HOOVER, AL 35244-8223
(205) 643-8299

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001255
WI

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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