| Drs Wilson And Martino Of Charleston, Pllc | |
|
2115 Charleston Town Ctr Charleston WV 25389-0007 | |
| (304) 720-7645 | |
| (304) 720-7643 |
| Full Name | Drs Wilson And Martino Of Charleston, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2115 Charleston Town Ctr, Charleston, West Virginia |
| Authorized Official Name and Position | Robert V Martino (CEO) |
| Authorized Official Contact | 3046245250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Wilson And Martino Of Charleston, Pllc 516 Cost Ave Stonewood WV 26301-4811 Ph: (304) 624-5250 | Drs Wilson And Martino Of Charleston, Pllc 2115 Charleston Town Ctr Charleston WV 25389-0007 Ph: (304) 720-7645 |
| NPI Number | 1154414381 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154414381 | NPI | - | NPPES |
| 3810001570 | Other | WV | WV DENTAL MEDICAL CARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3070 (West Virginia) | Primary |
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