Individual
JESSICA MCAULIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2202 N BERKSHIRE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-2761
(434) 293-9793
Mailing address
2202 N BERKSHIRE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-2761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019029644
IL
1223G0001X
General Practice Dentistry
Primary
0401415003
VA
Other
Enumeration date
04/02/2013
Last updated
09/22/2015
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