| NPI | 1679943385 |
|---|---|
| Other Name | ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TJ AMEREDES Owner/Dentist 304-242-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |