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Individual

DR. DANETTE D BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 CONCOURSE PKWY STE 265, HOOVER, AL 35244-2904
(205) 453-4195
(205) 533-7385
Mailing address
100 CONCOURSE PKWY STE 265, HOOVER, AL 35244-2904
(205) 453-4195
(205) 533-7385

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2005018580
MO
207N00000X
Dermatology Physician
Primary
MD.28260
AL

Other

Enumeration date
05/10/2007
Last updated
01/10/2020
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