Individual
JESSICA KEREN BOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
545 VENTURE DR, SMITHFIELD, NC 27577-4779
(919) 938-0525
Mailing address
4641 KIRKPATRICK LN, ALEXANDRIA, VA 22311-4931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416630
VA
1223G0001X
General Practice Dentistry
Primary
12614
NC
Other
Enumeration date
07/16/2014
Last updated
10/11/2022
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