Organization
MITRI A. GHAREEB, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRI ALBERTO GHAREEB DDS (PRESIDENT)
(304) 776-4541
Entity
Organization
Contact information
Practice address
5480 BIG TYLER ROAD, SUITE 1, CROSS LANES, WV 25313
(304) 776-1212
(304) 776-4542
Mailing address
5480 BIG TYLER ROAD, SUITE 1, CROSS LANES, WV 25313
(304) 776-1212
(304) 776-4542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3713
WV
Other
Enumeration date
02/05/2009
Last updated
05/26/2016
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