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1770765257
DANIEL KELLY WILFONG
PARKERSBURG, WV
NPI
1770765257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OH 30022126)
Additional Taxonomies
122300000X Dentist
(Licence: WV 3699)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
DANIEL KELLY WILFONG DDS
2905 DUDLEY AVE
PARKERSBURG, WV 26101
Phone number: 304-424-5002
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Mailing Address
DANIEL KELLY WILFONG DDS
2905 DUDLEY AVE
PARKERSBURG, WV 26101
Phone number: 304-424-5002
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