Individual
DR. CHAD MICHAEL PATERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
409 PENNY LN, WEIRTON, WV 26062-3260
(304) 670-9637
Mailing address
409 PENNY LN, WEIRTON, WV 26062-3260
(304) 670-9637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4065
WV
1223G0001X
General Practice Dentistry
Primary
9861
NC
Other
Enumeration date
07/09/2013
Last updated
10/30/2015
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