Individual
DR. BETHANY H VANDEVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009013243
MO
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
MO
Other
Enumeration date
05/05/2009
Last updated
06/17/2019
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