GREGORY CLARK BRISCOE

CHARLESTON, WV
NPI1962406876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WV  2207)
Enumeration Date2005-06-09
Last Update Date2012-10-18
Business Address
Dr. GREGORY CLARK BRISCOE dds
2018 MARTINS BRANCH RD
CHARLESTON, WV 25312-9457
Phone number: 304-984-0052
Mailing Address
Dr. GREGORY CLARK BRISCOE dds
PO BOX 13485
CHARLESTON, WV 25360-0485
Phone number: 304-984-0052
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