Individual
DR. DANIELLE MAGRO WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
855 CREEKSTONE RDG, SOUTH CHARLESTON, WV 25309-9469
(304) 685-7932
Mailing address
855 CREEKSTONE RDG, SOUTH CHARLESTON, WV 25309-9469
(304) 685-7932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3904
WV
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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