# DIANA O FRUM DDS INC

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

## Provider details

- **NPI number:** 1619053196
- **Authorized official:** DR. DIANA O FRUM DDS (DENTIST PRES)
- **Authorized official phone:** (304) 296-3786

## Contact information

- **Practice address:** 406 HOLLAND AVENUE, WESTOVER, WV 26501
- **Practice address phone:** (304) 296-3786
- **Practice address fax:** (304) 292-5925
- **Mailing address:** 406 HOLLAND AVENUE, WESTOVER, WV 26501
- **Mailing address phone:** (304) 296-3786
- **Mailing address fax:** (304) 292-5925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2675 | WV | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0137170001 | — | WV |