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DR. ROBERT LEWIS WANKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1 MEDICAL CENTER DRIVE, WVU SCHOOL OF DENTISTRY ROOM 1034, MORGANTOWN, WV 26506-9404
(304) 293-4301
(304) 293-2859
Mailing address
9 WAYSIDE LN, BRIDGEPORT, WV 26330-1153
(304) 293-4301
(304) 293-2859

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1991
WV
1223G0001X
General Practice Dentistry
1991
WV

Other

Enumeration date
09/29/2008
Last updated
09/29/2008
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