CHAD M BOUSTANY

MORGANTOWN, WV
NPI1114182029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WV  3842)
Enumeration Date2008-07-21
Last Update Date2008-07-21
Business Address
Dr. CHAD M BOUSTANY D.D.S.
152 MEADOWRIDGE TOWNHOMES
MORGANTOWN, WV 26505
Phone number: 304-599-1478
Mailing Address
Dr. CHAD M BOUSTANY D.D.S.
152 MEADOWRIDGE TOWNHOMES
MORGANTOWN, WV 26505
Phone number: