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Individual

CHARLES KENT CABANISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
710 DENBIGH BOULEVARD, BUILDING 7 SUITE D, NEWPORT NEWS, VI 23608
(757) 877-9325
(757) 874-2466
Mailing address
710 DENBIGH BOULEVARD, BUILDING 7 SUITE D, NEWPORT NEWS, VI 23608
(757) 877-9325
(757) 874-2466

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401007048
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000032
VA

Other

Enumeration date
09/15/2006
Last updated
09/11/2025
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