DR. Jamie Childress, DDS

NPI #1760487045 in Woodbridge, Virginia

Provider Information

NPI Number: 1760487045
Entity Type: Individual
Name: DR. Jamie Childress, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 14, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 13601 OFFICE PL
Address 2: SUITE 202
City: Woodbridge
State: Virginia
ZIP Code: 22192-4213
Phone: (703) 670-7071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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