| NPI | 1417107889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E SAMMONS Owner 304-393-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2668) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |