NPI | 1285080549 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MINIGH President 304-592-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3819) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2016-05-05 |