Individual
JESSICA PEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1174 LEESVILLE ST, NORTH CHARLESTON, SC 29405-4741
(919) 360-6882
Mailing address
1174 LEESVILLE ST, NORTH CHARLESTON, SC 29405-4741
(919) 360-6882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.8762 GD
SC
Other
Enumeration date
03/23/2015
Last updated
07/18/2016
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