| NPI | 1164678314 |
|---|---|
| Doing Business As | FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK W. SIMPSON Owner/President 304-342-6162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3379) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |