Individual
DR. DIONDRE LAMAR VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602
(315) 772-6234
(315) 774-3558
Mailing address
10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602
(315) 772-6234
(315) 774-3558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039798
PA
Other
Enumeration date
08/08/2013
Last updated
06/01/2016
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