| NPI | 1326468398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G MINCHAU Endodontist 304-319-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 14910) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |