| NPI | 1033845078 |
|---|---|
| Doing Business As | WV ADVENTURE CHILDRENS DENTISTRY |
| Doing Business As | WEST VIRGINIA ADVENTURE CHILDRENS DENTISTRY |
| Doing Business As | WVACD |
| Entity Type | Organization |
| Authorized Contact | ANDREW CHRISTOPHER LUSK Owner 304-687-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2022-07-30 |