Individual
DR. MADELYN ROSE HARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
372 MIDDLEWAY PIKE STE A, INWOOD, WV 25428-3909
(304) 229-5851
Mailing address
2500 WINCHESTER AVE, MARTINSBURG, WV 25405-5789
(304) 549-5558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4408
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4408
—
WV
Enumeration date
06/18/2019
Last updated
06/18/2019
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