| Daniel Dafo,dds, Inc. | |
|
1500 Grand Central Ave Suite 104 Vienna WV 26105-1079 | |
| (304) 295-8256 | |
| (304) 295-8261 |
| Full Name | Daniel Dafo,dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1500 Grand Central Ave, Vienna, West Virginia |
| Authorized Official Name and Position | Daniel Dafo (PRACTICE OWNER) |
| Authorized Official Contact | 3042958256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Dafo,dds, Inc. 1500 Grand Central Ave Suite 104 Vienna WV 26105-1079 Ph: (304) 295-8256 | Daniel Dafo,dds, Inc. 1500 Grand Central Ave Suite 104 Vienna WV 26105-1079 Ph: (304) 295-8256 |
| NPI Number | 1861800591 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861800591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4038 (West Virginia) | Primary |
Vienna Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Grand Central Ave Ste B, Vienna, WV 26105 Phone: 304-295-3384 | |
Jebediah S Christy, D.d.s. - Vienna, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Grand Central Ave, Vienna, WV 26105 Phone: 866-273-8204 Fax: 866-803-4943 |