| Tony K. Virgin | |
|
420 11th St Huntington WV 25701 | |
| (304) 697-1511 | |
| (304) 697-2267 |
| Full Name | Tony K. Virgin |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 420 11th St, Huntington, West Virginia |
| Authorized Official Name and Position | Tony K. Virgin (OWNER) |
| Authorized Official Contact | 3046971511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony K. Virgin 420 11th St Huntington WV 25701 Ph: (304) 697-1511 | Tony K. Virgin 420 11th St Huntington WV 25701 Ph: (304) 697-1511 |
| NPI Number | 1265603799 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265603799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3171 (West Virginia) | Primary |
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