| NPI | 1346671377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON CHRISTOPHER SMITH Owner 304-343-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3485) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |