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Organization
THOMAS E CONDRON DDS
Active
Organization
THOMAS E CONDRON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E CONDRON IX D.D.S (DENTIST)
(304) 623-4984
Entity
Organization
Contact information
Practice address
234 COURT ST, CLARKSBURG, WV 26301-2906
(304) 623-4984
(304) 623-2830
Mailing address
234 COURT ST, CLARKSBURG, WV 26301-2906
(304) 623-4984
(304) 623-2830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV1963
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134914000
—
WV
05
—
0137302000
—
WV
05
—
03810005032
—
WV
Enumeration date
12/20/2006
Last updated
03/14/2017
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