| NPI | 1184662074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M ELLER President 304-302-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2211) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-04-01 |