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Individual

DR. BRODIE STALKER JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1031 W WILLIAMS ST, SUITE 101, APEX, NC 27502-3955
(919) 362-6789
(919) 362-6718
Mailing address
1031 W WILLIAMS ST, SUITE 101, APEX, NC 27502-3955
(919) 362-6789
(919) 362-6718

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7144
NC

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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