| NPI | 1336587674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY C SMALLWOOD President 304-997-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413971) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2013-06-09 |