| Dale E Brum, D.d.s. Inc. | |
|
930 Avery St Parkersburg WV 26101-4725 | |
| (304) 428-1151 | |
| (304) 428-0082 |
| Full Name | Dale E Brum, D.d.s. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 930 Avery St, Parkersburg, West Virginia |
| Authorized Official Name and Position | Dale Eric Brum (PRESIDENT) |
| Authorized Official Contact | 3044281151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale E Brum, D.d.s. Inc. 930 Avery St Parkersburg WV 26101-4725 Ph: (304) 428-1151 | Dale E Brum, D.d.s. Inc. 930 Avery St Parkersburg WV 26101-4725 Ph: (304) 428-1151 |
| NPI Number | 1043329402 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043329402 | NPI | - | NPPES |
| 000142132 | Other | WV | PROVIDER ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2616 (West Virginia) | Primary |
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