Individual
MR. DAVID ALAN MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 RITTER DR, GLEN MORGAN, WV 25813-7709
(304) 255-2898
(304) 255-9487
Mailing address
PO BOX 1430, BEAVER, WV 25813
(304) 255-2898
(304) 255-9487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3221
WV
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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