| NPI | 1295810612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR V YACENDA President 304-875-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2226) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-03-02 |