Individual
MS. KERI ROCHELLE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 JEFFERSON HWY, SUITE 9, LOUISA, VA 23093
(540) 967-9401
(540) 967-9405
Mailing address
115 JEFFERSON HWY, SUITE 9, LOUISA, VA 23093
(540) 967-9401
(540) 967-9405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414753
VA
Other
Enumeration date
01/15/2013
Last updated
05/03/2016
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