| NPI | 1376619767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD A VELTRI Owner 304-622-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2829) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-08-16 |