| NPI | 1871943480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WILTON MOYE Doctor Of Dental Surgery 304-575-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 4215) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |