Individual
DR. DUSTIN VENABLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18912 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4489
(302) 645-6671
Mailing address
206 SALT FOREST LN, REHOBOTH BEACH, DE 19971-9539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0011532
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2021
Last updated
08/01/2022
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