| NPI | 1023318201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GREGORY BRYANT Owner 304-598-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WV 3341) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |