| NPI | 1174658850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILDEN DEAN BOBBITT Vice President 304-428-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-01-24 |