| NPI | 1982881777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY DELLI-GATTI Owner 304-424-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2447) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |