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Organization
KATHERINE WOOTON D.D.S., INC
Active
Organization
KATHERINE WOOTON D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE WOOTON (DENTIST)
(304) 692-6112
Entity
Organization
Contact information
Practice address
702 PROFESSIONAL PARK DR STE 100, SUMMERSVILLE, WV 26651-2033
(304) 872-7272
Mailing address
702 PROFESSIONAL PARK DR STE 100, SUMMERSVILLE, WV 26651-2033
(304) 872-7272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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