| NPI | 1164646725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW MYERS President 304-599-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WV 3254) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |