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Organization
MORGANTOWN DENTAL, PLLC
Active
Organization
MORGANTOWN DENTAL, PLLC
Active
Other names
MMS Dental Implants and Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
2000 HAMPTON CTR STE A, MORGANTOWN, WV 26505-1704
(304) 906-4900
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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