Individual
DR. JESSACA SHONTE CHARITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401417367
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/21/2019
Last updated
06/07/2021
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