| NPI | 1164556668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO ZAPANTA BERNARDO Dentist 304-442-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3257) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |