Individual
BRYAN SCOTT EDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
71 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303
(304) 744-8448
(304) 744-4344
Mailing address
71 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303
(304) 744-8448
(304) 744-4344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV2957
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132821000
—
WV
Enumeration date
09/29/2006
Last updated
07/08/2007
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