Provider First Line Business Practice Location Address:
451, WVU DENTAL CARE
Provider Second Line Business Practice Location Address:
SUNCREST TOWNE CENTER
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26505-2650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-780-4820
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2019