| NPI | 1922169978 |
|---|---|
| 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 |