Individual
DENISE SHREVE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
17978 SR 55, BAKER, WV 26801
(304) 897-5915
(304) 897-6216
Mailing address
HC 72 BOX 125, NEW CREEK, WV 26743-9607
(304) 788-6697
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1768
WV
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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