| NPI | 1194995316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J WROBLESKI Owner 304-363-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WV 2027) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-04-17 |