| NPI | 1285871285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT EDWARD ECKLEY President 304-252-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |