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Individual

CABOT DENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
737 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 833-4419
Mailing address
737 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 833-4419

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
58736
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D012067
AZ

Other

Enumeration date
08/26/2009
Last updated
06/05/2025
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