Individual
DR. JEFFREY CHRISTIAN ZACKERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
481 SHEPHERD ST, WINSTON SALEM, NC 27103-1627
(336) 768-8850
Mailing address
960 FOREST GROVE DR, WINSTON SALEM, NC 27104-1445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10662
NC
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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