| NPI | 1568559839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HARVEY LAYNE Dentist 304-372-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WV 2479) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |