| NPI | 1699980359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M. PALMA Orthodontist 304-242-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 2674) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |