COUNTRY CLUB DENTAL PLLC

FAIRMONT, WV
NPI1821959131
Entity TypeOrganization
Authorized ContactNADIA MARDMOMEN
Member
304-672-9994
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2025-11-18
Last Update Date2025-11-18
Business Address
COUNTRY CLUB DENTAL PLLC
1520 COUNTRY CLUB RD
FAIRMONT, WV 26554-1353
Phone number: 304-363-9160
Mailing Address
COUNTRY CLUB DENTAL PLLC
80 GARDEN CIR
BRIDGEPORT, WV 26330-1367
Phone number: 304-672-9994