JERRY WAYNE CHILDRESS

CHARLOTTE, NC
NPI1528132859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  3658)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
Dr. JERRY WAYNE CHILDRESS DDS
6708 REGAL OAKS DRIVE REGAL OAKS DENTAL OFFICE
CHARLOTTE, NC 28212
Phone number: 704-536-0269
Mailing Address
Dr. JERRY WAYNE CHILDRESS DDS
6708 REGAL OAKS DRIVE REGAL OAKS DENTAL OFFICE
CHARLOTTE, NC 28212
Phone number: 704-536-0269
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