| NPI | 1518275627 |
|---|---|
| Doing Business As | VALLEY HEALTH SOUTHSIDE ELEMENTARY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEINBERGER CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2015-01-12 |