Individual
DR. DENNIS JOHN KANTANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
577 STERNBERG AVE, FORT EUSTIS, VA 23604-1526
(757) 314-7944
Mailing address
577 STERNBERG AVE, FORT EUSTIS, VA 23604-1526
(757) 314-7944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00009433
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401416256
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00009433
WA
Other
Enumeration date
12/29/2005
Last updated
07/21/2022
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