| NPI | 1043431265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M. PALMA Orthodontist 304-748-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WV 2674) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |