Individual
DR. CANDACE H VENEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12020 E SHEA BLVD, SUITE 8, SCOTTSDALE, AZ 85259-4179
(480) 767-5600
Mailing address
12020 E SHEA BLVD, SUITE 8, SCOTTSDALE, AZ 85259-4179
(480) 767-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3792
AR
1223P0221X
Pediatric Dentistry
73
AR
1223P0221X
Pediatric Dentistry
Primary
9209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063499
—
AZ
05
—
184293608
—
AR
Enumeration date
09/15/2006
Last updated
01/31/2016
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