Organization
LAURA MARPLE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA L MARPLE DR (OWNER)
(304) 765-2522
Entity
Organization
Contact information
Practice address
304 RIVERVIEW DR, SUTTON, WV 26601-1343
(304) 765-2522
(304) 765-2622
Mailing address
304 RIVERVIEW DR, PO BOX 485, SUTTON, WV 26601-1343
(304) 765-2522
(304) 765-2622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2494
WV
1223G0001X
General Practice Dentistry
4064
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136378000
—
WV
Enumeration date
07/31/2013
Last updated
07/31/2013
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