Organization
CHRISTOPHER J RODEBAUGH, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J RODEBAUGH (DENTIST)
(304) 645-3110
Entity
Organization
Contact information
Practice address
120 MAPLEWOOD AVE, RONCEVERTE, WV 24970-9736
(304) 645-3110
(304) 645-3209
Mailing address
120 MAPLEWOOD AVE, RONCEVERTE, WV 24970-9736
(304) 645-3110
(304) 645-3209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3820
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38100178725
—
WV
Enumeration date
06/06/2013
Last updated
06/06/2013
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