Provider First Line Business Practice Location Address:
WEST VIRGINIA UNIVERSITY SCHOOL OF DENTISTRY
Provider Second Line Business Practice Location Address:
ROBERT C. BYRD HEALTH SCIENCES CENTER
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-9495
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-293-2612
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2013