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Organization
PHILIPD HIGH, DDS., INC
Active
Organization
PHILIPD HIGH, DDS., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO DONAHUE (OFFICE MANAGER)
(304) 242-0641
Entity
Organization
Contact information
Practice address
1203 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6332
(304) 242-5671
(304) 242-0641
Mailing address
1203 MT DECHANTAL RD, WHEELING, WV 26003
(304) 242-5671
(304) 242-0641
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2039
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138210000
—
WV
01
—
1902892698
NPI
WV
Enumeration date
07/25/2006
Last updated
08/31/2007
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