Appalachian Oral Surgery Center | |
3433 University Ave Suite 1 Morgantown WV 26505-3052 | |
(304) 322-4532 | |
Not Available |
Full Name | Appalachian Oral Surgery Center |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3433 University Ave, Morgantown, West Virginia |
Authorized Official Name and Position | Matthew Elwood Koepke (MEMBER) |
Authorized Official Contact | 3049047145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Appalachian Oral Surgery Center 3433 University Ave Suite 1 Morgantown WV 26505-3052 Ph: (304) 322-4532 | Appalachian Oral Surgery Center 3433 University Ave Suite 1 Morgantown WV 26505-3052 Ph: (304) 322-4532 |
NPI Number | 1104359959 |
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Provider Enumeration Date | 04/09/2017 |
Last Update Date | 04/09/2017 |
Identifier | Type | State | Issuer |
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1104359959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4011 (West Virginia) | Primary |
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