Upper Tract Dental | |
9030 Petersburg Pike Upper Tract WV 26866-8014 | |
(304) 358-7200 | |
(304) 358-7284 |
Full Name | Upper Tract Dental |
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Speciality | Dentist - General Practice |
Location | 9030 Petersburg Pike, Upper Tract, West Virginia |
Authorized Official Name and Position | Lisa D Mallow (OFFICE MANAGER) |
Authorized Official Contact | 3043588152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Upper Tract Dental 8791 Petersburg Pike Upper Tract WV 26866-8016 Ph: (304) 358-8152 | Upper Tract Dental 9030 Petersburg Pike Upper Tract WV 26866-8014 Ph: (304) 358-7200 |
NPI Number | 1083395081 |
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Provider Enumeration Date | 07/31/2023 |
Last Update Date | 08/03/2023 |
Identifier | Type | State | Issuer |
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1083395081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |