Individual
DR. SYDNEY HOLLAND HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
80 LAKEVIEW DR, PADUCAH, KY 42001-5633
(270) 534-4887
Mailing address
80 LAKEVIEW DR, PADUCAH, KY 42001-5633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10459
KY
Other
Enumeration date
08/17/2020
Last updated
01/13/2022
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