# TRIADELPHIA OF WEST VIRGINIA DENTAL PLLC

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

## Provider details

- **NPI number:** 1538774401
- **Authorized official:** GEORGE MONIOS (OWNER)
- **Authorized official phone:** (304) 909-3019

## Contact information

- **Practice address:** 219 CABELA DR, TRIADELPHIA, WV 26059-1022
- **Practice address phone:** (304) 909-3019
- **Mailing address:** PO BOX 70887, CLEVELAND, OH 44190-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 06/20/2023