NPI | 1881134690 |
---|---|
Doing Business As | LAUREL MOUNTAIN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ERICA WARREN REED Owner 304-241-1937 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 3729) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2017-02-27 |