| NPI | 1902666415 |
|---|---|
| Doing Business As | CLARKSBURG FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JETTE Owner 304-623-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |