Individual
JACQUELINE BROOKE WALLOWITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MCDOWELL ST STE 200, ASHEVILLE, NC 28801-4136
(828) 676-3618
(828) 407-4581
Mailing address
PO BOX 100181, COLUMBIA, SC 29202-3141
(828) 202-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14428
NC
1223D0001X
Public Health Dentistry
14428
NC
Other
Enumeration date
01/13/2025
Last updated
01/06/2026
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