Organization
SOKOLOSKY AND WEAVER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SOKOLOSKY JR. DDS (PRESIDENT)
(304) 343-5161
Entity
Organization
Contact information
Practice address
869 OAKWOOD RD, CHARLESTON, WV 25314-2057
(304) 343-5161
(304) 343-5205
Mailing address
869 OAKWOOD RD, CHARLESTON, WV 25314-2057
(304) 343-5161
(304) 343-5205
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2578-78
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005761
—
WV
Enumeration date
09/26/2006
Last updated
08/22/2020
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