NPI | 1922169978 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROY E DAY Pediatric Dentist 304-599-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WV 2116) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 3596) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2008-08-11 |