| NPI | 1700983921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALFRED RAY Partner 304-368-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2897) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |