| Ghareeb Dental Group | |
|
1203 Jefferson Rd South Charleston WV 25309-9732 | |
| (304) 744-3333 | |
| (304) 744-8245 |
| Full Name | Ghareeb Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1203 Jefferson Rd, South Charleston, West Virginia |
| Authorized Official Name and Position | Steven Amos Ghareeb (DENTIST) |
| Authorized Official Contact | 3047443333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghareeb Dental Group 1203 Jefferson Rd South Charleston WV 25309-9732 Ph: (304) 744-3333 | Ghareeb Dental Group 1203 Jefferson Rd South Charleston WV 25309-9732 Ph: (304) 744-3333 |
| NPI Number | 1790990638 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790990638 | NPI | - | NPPES |
| 381-000-4849 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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