| NPI | 1659498889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL ANDREW SAGAN Dds Owner 304-723-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2722) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |