NPI | 1083647853 |
---|---|
Doing Business As | THE DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | MARK W SIMPSON Dentist 304-342-6162 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WV WV2583) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |