Individual
DR. KADERUS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
Mailing address
3500 MANCHESTER DR, CHARLOTTE, NC 28217-1142
(704) 390-0868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7608
LA
Other
Enumeration date
05/20/2024
Last updated
07/31/2025
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