Individual provider · NPI-1

Dr. Waneta Lee Chenault, D.D.S.

Dentist, General Practice · Highland Village, TX

NPI number1679580476
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679580476
Entity type
Individual (NPI-1)
Name
Dr. Waneta Lee Chenault
Credential
D.D.S.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice18995TXYes

Practice location

2280 Highland Village Rd
Ste. 100
Highland Village, TX 75077-7146

Phone 972-966-6686

Mailing address

2280 Highland Village Rd
Ste. 100
Highland Village, TX 75077-7146

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