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Individual

DR. CADETTE LANCY DENEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
501 RISON ST STE 110, DANVILLE, VA 24541-2426
(786) 488-0428
Mailing address
501 RISON ST STE 110, DANVILLE, VA 24541-2426
(786) 488-0428

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419013
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401419013
VA LICENSE NUMBER
VA
Enumeration date
06/10/2024
Last updated
06/10/2024
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