| NPI | 1912088410 |
|---|---|
| Doing Business As | CLAY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSSELL BROOKS LEGG Owner 304-587-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV WV2123) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-18 |