Individual
ANNA JOSE WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3775 CENTRAL AVE., SHADYSIDE, OH 43947
(740) 676-2604
(740) 325-1869
Mailing address
3775 CENTRAL AVE., SHADYSIDE, OH 43947
(740) 676-2604
(740) 325-1869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
021395
OH
122300000X
Dentist
2330089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330089
—
OH
05
—
2570016
—
OH
Enumeration date
01/30/2006
Last updated
07/21/2022
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