Individual
MARY KAY DOERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1607 MARYLAND AVE, BLUEFIELD, WV 24701
(304) 324-8703
(304) 324-8735
Mailing address
1607 MARYLAND AVE, BLUEFIELD, WV 24701
(304) 324-8703
(304) 324-8735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3246
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4001019000
—
WV
Enumeration date
08/31/2006
Last updated
10/24/2012
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