Individual
DR. JESSICA WADE VET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9201 LEESVILLE RD STE 101, RALEIGH, NC 27613-7540
(919) 205-9500
Mailing address
1002 FARGO STREET, DURHAM, NC 27707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11087
NC
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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