# CGLDDSMORGANTOWN

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

## Provider details

- **NPI number:** 1841663820
- **Authorized official:** CAROLINE LABRITZ DDS (PRESIDENT)
- **Authorized official phone:** (304) 296-3786

## Contact information

- **Practice address:** 406 HOLLAND AVE, WESTOVER, WV 26501-4209
- **Practice address phone:** (304) 296-3786
- **Mailing address:** 406 HOLLAND AVE, WESTOVER, WV 26501-4209
- **Mailing address phone:** (304) 296-3786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3633 | WV | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 11/12/2015