License holder summary

Frederick, Dionete Dehaven is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Frederick, Dionete Dehaven is 8314 E 108th St Apt #1 , Kansas City 64134. This licensed professional license is current. The license was granted 05/23/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Frederick, Dionete Dehaven
Dental - Expanded Function - Restorative I
License number
2013015301  
Date granted
05/23/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
8314 E 108th St Apt #1 
licensingmissouri.org
ID 2031965
LAST UPDATED 2024-03-05 12:08:09 UTC

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