| NPI | 1871085787 |
|---|---|
| Former Legal Business Name | PARKERSBURG ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY G. MINCHAU Owner/Dentist 304-594-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WV 2805) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WV 3779) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |