| NPI | 1447324884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE F GREENE V. Pres Busi. Mgr. 304-345-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 1596) |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |