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Individual

DR. JULIE INDICOTT WALDREP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
450 NEW MARKET BLVD STE 4, BOONE, NC 28607-5501
(828) 264-3211
Mailing address
450 NEW MARKET BLVD STE 4, BOONE, NC 28607-5501
(828) 264-3211

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9437
NC

Other

Enumeration date
02/13/2009
Last updated
06/03/2013
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