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1528132859
JERRY WAYNE CHILDRESS
CHARLOTTE, NC
NPI
1528132859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 3658)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. JERRY WAYNE CHILDRESS DDS
6708 REGAL OAKS DRIVE REGAL OAKS DENTAL OFFICE
CHARLOTTE, NC 28212
Phone number: 704-536-0269
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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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