| NPI | 1003197070 |
|---|---|
| Doing Business As | HUNTINGTON PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK MARTIN Pediatric Dentist 304-781-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 3383) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |