PEDIATRIC AND ADOLESCENT DENTISTRY

NPI # 

Practice Address:

9 Chenoweth Dr

Bridgeport, WV, 26330-1885

Practice Phone:

304-842-1921

Practice Fax:

304-842-1960

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X