Individual
JILLIAN SKEETERS WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
982 LEE ANN DR NE, CONCORD, NC 28025-2957
(704) 787-9355
(704) 787-9554
Mailing address
982 LEE ANN DR NE, CONCORD, NC 28025-2957
(704) 787-9355
(704) 787-9554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9491
TN
1223G0001X
General Practice Dentistry
Primary
11240
NC
1223G0001X
General Practice Dentistry
1730444035
NC
Other
Enumeration date
07/12/2012
Last updated
05/14/2024
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