Organization
COAL GROVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WEINBERGER (CFO)
(304) 525-3334
Entity
Organization
Contact information
Practice address
205 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 532-1188
(740) 532-1183
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
OH
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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