| NPI | 1285742270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MATTHEW DUDA Oral Surgeon 304-255-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: WV 3202) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |