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1518330463
CAPITOL ENDODONTICS, PLLC
CHARLESTON, WV
NPI
1518330463
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Entity Type
Organization
Authorized Contact
AMANDA BOUSTANY
Owner
304-345-1248
Organization Subpart ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: WV 4180)
Enumeration Date
2015-11-01
Last Update Date
2015-11-01
Business Address
CAPITOL ENDODONTICS, PLLC
405 CAPITOL ST SUITE 914
CHARLESTON, WV 25301-1749
Phone number: 304-345-1248
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Mailing Address
CAPITOL ENDODONTICS, PLLC
405 CAPITOL ST SUITE 914
CHARLESTON, WV 25301-1749
Phone number: 304-345-1248
Copy
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