Individual
DR. CARLIE M ENNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
633 CEDAR CREEK GRADE, WINCHESTER, VA 22601-2708
(540) 450-2100
Mailing address
510 RIDGEWOOD LN APT 204, WINCHESTER, VA 22601-6263
(540) 535-9827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418869
VA
Other
Enumeration date
07/14/2021
Last updated
06/21/2024
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