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Organization

BRETT ECKLEY DDS MS INC.

Active
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Organization

BRETT ECKLEY DDS MS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT EDWARD ECKLEY DDS (PRESIDENT)
(304) 252-0771
Entity
Organization

Contact information

Practice address
1804 HARPER RD, BECKLEY, WV 25801-3331
(304) 252-0771
(304) 253-1281
Mailing address
1804 HARPER RD, BECKLEY, WV 25801-3331
(304) 252-0771
(304) 253-1281

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0137774000
WV
05
3810000276
WV
Enumeration date
01/13/2009
Last updated
01/13/2009
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