| NPI | 1073874806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHRISTOPHER TAYLOR Partner 304-342-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 2394) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 3852) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |