| NPI | 1346374634 |
|---|---|
| Doing Business As | SOUTHWERN WEST VIRGINA ORAL & MAXILLOFACIAL SURGEONS, LTD |
| Entity Type | Organization |
| Authorized Contact | LEWIS D. GILBERT Managing Partner 304-256-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: WV 3691) |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: WV 2262) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-03-04 |