| NPI | 1790956720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. SCOTT MURPHY President/Owner 304-522-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WV 3284) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |