| NPI | 1912239211 |
|---|---|
| Doing Business As | VALLEY HEALTH SOUTHSIDE YHC DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEINBERGER CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 3807) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2015-01-12 |