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Individual

JENINE NICOLE GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
12520 CAPITAL BLVD, SUITE 101 AND 201, WAKE FOREST, NC 27587-4659
(704) 301-6157
Mailing address
5050 KENTWORTH DR, HOLLY SPRINGS, NC 27540-7690
(919) 567-7400
(919) 567-3452

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8604
NC

Other

Enumeration date
06/03/2008
Last updated
05/10/2016
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