Individual
DR. JESSIE MONDESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3320 SILAS CREEK PKWY, SUITE 576, WINSTON SALEM, NC 27103-3031
(336) 768-8228
Mailing address
3320 SILAS CREEK PKWY, SUITE 576, WINSTON SALEM, NC 27103-3031
(336) 768-8228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7942
NC
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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