# TONY K. VIRGIN

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

## Provider details

- **NPI number:** 1265603799
- **Authorized official:** DR. TONY K. VIRGIN D.D.S. (OWNER)
- **Authorized official phone:** (304) 697-1511

## Contact information

- **Practice address:** 420 11TH ST, HUNTINGTON, WV 25701
- **Practice address phone:** (304) 697-1511
- **Practice address fax:** (304) 697-2267
- **Mailing address:** 420 11TH ST, HUNTINGTON, WV 25701
- **Mailing address phone:** (304) 697-1511
- **Mailing address fax:** (304) 697-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3171 | WV | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/12/2008