# ALT V DENTAL WV PLLC

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

## Provider details

- **NPI number:** 1699427419
- **Authorized official:** DR. NADIA ARMENTROUT DDS (OWNER)
- **Authorized official phone:** (330) 951-9153

## Contact information

- **Practice address:** 115 S CHARLES ST, CHARLES TOWN, WV 25414-1613
- **Practice address phone:** (330) 951-9153
- **Practice address fax:** (888) 817-9032
- **Mailing address:** 100 PURCELLVILLE GATEWAY DR STE D, PURCELLVILLE, VA 20132-3487
- **Mailing address phone:** (330) 951-9153
- **Mailing address fax:** (888) 817-9032

## Taxonomy

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

## Other

- **Enumeration date:** 01/23/2022
- **Last updated:** 01/23/2022