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1669238572
PEDIATRIC AND ADOLESCENT DENTISTRY
BRIDGEPORT, WV
NPI
1669238572
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Entity Type
Organization
Authorized Contact
MOE MOMEN
Owner
304-842-1921
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
PEDIATRIC AND ADOLESCENT DENTISTRY
9 CHENOWETH DR
BRIDGEPORT, WV 26330-1885
Phone number: 304-842-1921
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Mailing Address
PEDIATRIC AND ADOLESCENT DENTISTRY
9 CHENOWETH DR
BRIDGEPORT, WV 26330-1885
Phone number: 304-842-1921
Copy
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