NPI | 1366865552 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA SUSAN LUCIANO PARKER General Dentist 304-579-7508 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-01-24 |
Last Update Date | 2014-01-24 |