Individual
DR. VICTOR R CANESTRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1052 E BETHLEHEM BLVD, WHEELING, WV 26003-4961
(304) 233-1244
(304) 233-1248
Mailing address
RR 1 BOX 72C, VALLEY GROVE, WV 26060-8901
(304) 547-0653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3577
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000474
—
WV
Enumeration date
11/07/2006
Last updated
07/09/2007
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