# WAYNE DENTAL - VALLEY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023563921
- **Authorized official:** RICHARD WEINBERGER (CFO)
- **Authorized official phone:** (304) 525-3334

## Contact information

- **Practice address:** 203 KENOVA AVE, WAYNE, WV 25570-9795
- **Practice address phone:** (304) 272-5136
- **Practice address fax:** (304) 272-3807
- **Mailing address:** 203 KENOVA AVE, WAYNE, WV 25570-9795
- **Mailing address phone:** (304) 272-5136
- **Mailing address fax:** (304) 272-3807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | WV | Yes |

## Other

- **Enumeration date:** 08/20/2016
- **Last updated:** 08/20/2016