# GHAREEB,DDS, PC

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

## Provider details

- **NPI number:** 1932535051
- **Authorized official:** DR. MITRI A GHAREEB DDS (PRESIDENT)
- **Authorized official phone:** (304) 757-7441

## Contact information

- **Practice address:** 109 POPLAR FORK RD, SCOTT DEPOT, WV 25560-9766
- **Practice address phone:** (304) 757-7441
- **Mailing address:** 109 POPLAR FORK RD, SCOTT DEPOT, WV 25560-9766
- **Mailing address phone:** (304) 757-7441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3713 | WV | Yes |

## Other

- **Enumeration date:** 09/20/2013
- **Last updated:** 09/20/2013