| NPI | 1912190539 |
|---|---|
| Doing Business As | MORGANTOWN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A WILSON Partner 304-292-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 2381 Michael A Wilso) |
| Additional Taxonomies | 122300000X Dentist (Licence: WV 3665 Joshua M Dolin) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2015-07-13 |