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Organization
ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC
Active
Organization
ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC
Active
Other names
Drs. Russell, Pike, & Nelson, PC, Drs. Russell, Pike & Nelson, PC
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PHILLIPS (OFFICE MANAGER)
(304) 263-0991
Entity
Organization
Contact information
Practice address
1007 SUSHRUTA DRIVE, MARTINSBURG, WV 25401
(304) 263-0991
(304) 274-9546
Mailing address
1007 SUSHRUTA DRIVE, MARTINSBURG, WV 25401
(304) 263-0991
(304) 274-9546
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
02/21/2023
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