CHARITY J.E. VANDERWALL-LACEY

JACKSONVILLE, NC
NPI1679923080
Former NameCHARITY VANDER WALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NC  10800)
Additional Taxonomies122300000X Dentist
(Licence: DC  DEN1001627)
Enumeration Date2016-06-16
Last Update Date2022-07-21
Business Address
DR. CHARITY J.E. VANDERWALL-LACEY DMD
123 COBIA CT
JACKSONVILLE, NC 28546-6862
Phone number: 910-347-1211
Mailing Address
DR. CHARITY J.E. VANDERWALL-LACEY DMD
123 COBIA CT
JACKSONVILLE, NC 28546-6862
Phone number: 910-347-1211