Individual
MR. JAMES ROBERT VANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3008 S CHURCH STREET, #B, BURLINGTON, NC 27215
(336) 584-7004
Mailing address
3008 S CHURCH STREET, #B, BURLINGTON, NC 27215
(336) 584-7004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13843
MD
122300000X
Dentist
Primary
9351
NC
122300000X
Dentist
DD3354
NM
Other
Enumeration date
12/22/2005
Last updated
08/14/2012
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