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1003 Sushruta Dr Martinsburg WV 25401 | |
(304) 263-3367 | |
(304) 263-1634 |
Full Name | |
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Speciality | Dentist |
Location | 1003 Sushruta Dr, Martinsburg, West Virginia |
Authorized Official Name and Position | William W Bonifant (OFFICER) |
Authorized Official Contact | 3042633367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1003 Sushruta Dr Martinsburg WV 25401 Ph: (304) 263-3367 | 1003 Sushruta Dr Martinsburg WV 25401 Ph: (304) 263-3367 |
NPI Number | 1356451405 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356451405 | NPI | - | NPPES |
850292 | Other | WV | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
William F. Queen, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 N Queen St, Martinsburg, WV 25404 Phone: 304-263-6568 Fax: 304-267-7183 | |
Donald E. Patthoff Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Foxcroft Ave Ste 302, Martinsburg, WV 25401 Phone: 304-263-0411 | |