| Ghareeb Dental Group | |
|
178 Main St. Poca WV 25159 | |
| (304) 755-3931 | |
| Not Available |
| Full Name | Ghareeb Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 178 Main St., Poca, West Virginia |
| Authorized Official Name and Position | Ricky Boggess (BUSINESS MANAGER) |
| Authorized Official Contact | 3047577441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghareeb Dental Group Po Box 566 Poca WV 25159-0566 Ph: (304) 755-3931 | Ghareeb Dental Group 178 Main St. Poca WV 25159 Ph: (304) 755-3931 |
| NPI Number | 1437371713 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437371713 | NPI | - | NPPES |
| 1780791061 | Other | WV | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2118 (West Virginia) | Primary |
Valley Health Poca High School Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5b Rr2, Poca, WV 25159 Phone: 304-755-5511 |