Individual
KATELYN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, MAIL STOP 800740, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1774
(434) 243-6378
Mailing address
2320 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-1622
(434) 978-1510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417968
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/25/2021
Last updated
07/14/2023
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