EMILY PETTIT BLACK

WESTOVER, WV
NPI1710419635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WV  4266)
Enumeration Date2017-03-30
Last Update Date2018-07-08
Business Address
EMILY PETTIT BLACK DDS
157 HOLLAND AVE
WESTOVER, WV 26501
Phone number: 304-296-1721
Mailing Address
EMILY PETTIT BLACK DDS
440 OVERHILL ST
MORGANTOWN, WV 26505-4825
Phone number: 304-610-6542