| Diondre L. Venable, DDS LLC | |
|
15805 Robert Crain Highway Sw Suite E Brandywine MD 20613 | |
| (724) 734-3593 | |
| Not Available |
| Full Name | Diondre L. Venable, DDS LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15805 Robert Crain Highway Sw, Brandywine, Maryland |
| Authorized Official Name and Position | Diondre Venable (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 7247343593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diondre L. Venable, DDS LLC 12060 Abberly Pl Apt 203 Waldorf MD 20601-2715 Ph: (724) 734-3593 | Diondre L. Venable, DDS LLC 15805 Robert Crain Highway Sw Suite E Brandywine MD 20613 Ph: (724) 734-3593 |
| NPI Number | 1649021973 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649021973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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