| NPI | 1215458864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BYERS Owner 304-265-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: WV 12507) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |