Individual
MATTHEW ALLEN DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4303 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 925-3177
(304) 926-6867
Mailing address
4303 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4519
WV
Other
Enumeration date
06/07/2021
Last updated
06/17/2021
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