Individual
ARIEL DENISE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-6144
(304) 354-6191
Mailing address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-6144
(304) 354-6191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4167
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4167
LICENSE
WV
Enumeration date
06/26/2015
Last updated
06/26/2015
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