NPI | 1992297733 |
---|---|
Doing Business As | MERIDIAN DENTAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JANET ANTONINI Credentialing 304-765-5019 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WV 3456) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WV 3682) |
1223E0200X Dentist, Endodontics (Licence: WV 3815) | |
1223E0200X Dentist, Endodontics (Licence: WV 4092) | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2023-10-26 |