Organization
GREG J. WROBLESKI, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG J WROBLESKI DDS (OWNER)
(304) 363-2020
Entity
Organization
Contact information
Practice address
1030 MORGANTOWN AVE, FAIRMONT, WV 26554-4375
(304) 363-2020
(304) 363-8021
Mailing address
1030 MORGANTOWN AVE, FAIRMONT, WV 26554-4375
(304) 363-2020
(304) 363-8021
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2027
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR9287591
MEDICARE GROUP PIN
WV
01
—
GR9287592
MEDICARE GROUP PIN
WV
Enumeration date
03/04/2008
Last updated
04/17/2008
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