Individual
DR. JAMIE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13601 OFFICE PL, SUITE 202, WOODBRIDGE, VA 22192-4213
(703) 670-7071
Mailing address
220 CHELSEA DR, WARRENTON, VA 20186-2841
(540) 349-7159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411027
VA
Other
Enumeration date
06/14/2005
Last updated
07/08/2007
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