| NPI | 1780906248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L. SNYDER Owner 304-636-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 3210) |
| Additional Taxonomies | 122300000X Dentist (Licence: WV 3768) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |