Individual
DR. JENNIFER HADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
SHORELINE ORTHODONTICS, 216 US-64, MANTEO, NC 27954
(252) 216-2998
(252) 338-8184
Mailing address
PO BOX 2480, MANTEO, NC 27954
(252) 216-2998
(252) 338-8184
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401417221
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12064
NC
Other
Enumeration date
02/11/2021
Last updated
10/29/2024
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