| NPI | 1043658503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J RODEBAUGH Dentist 304-645-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3820) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |