| NPI | 1629499553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST NORMAN PENNINGTON Dentist 304-344-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2194) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |