Individual
LAURA M COO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1616 13TH AVE STE 200, HUNTINGTON, WV 25701-3800
(304) 691-1247
(304) 691-1248
Mailing address
1616 13TH AVE STE 200, HUNTINGTON, WV 25701-3800
(304) 691-1247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4807
WV
Other
Enumeration date
05/11/2023
Last updated
09/15/2025
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