Individual
CHARLES LAWRECE W. YEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3015 DUDLEY AVE, PARKERSBURG, WV 26104-1817
(304) 428-6495
(304) 865-0802
Mailing address
3015 DUDLEY AVE, PARKERSBURG, WV 26104-1817
(304) 428-6495
(304) 865-0802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3460
WV
Other
Enumeration date
08/29/2012
Last updated
02/15/2013
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