Organization
KILCOLLIN DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. KILCOLLIN D.D.S. (PRESIDENT)
(304) 645-3883
Entity
Organization
Contact information
Practice address
1393 JEFFERSON ST N, LEWISBURG, WV 24901-2212
(304) 772-3333
Mailing address
1393 JEFFERSON ST N, LEWISBURG, WV 24901-2212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3856
WV
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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