NPI | 1013102037 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES T HALL Dentist Owner 304-525-6441 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WV WV3628) |
Additional Taxonomies | 122300000X Dentist (Licence: WV WV2543) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2019-07-19 |