Organization
DR DAVID E. DIBIASE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E DIBIASE DDS (PRESIDENT)
(304) 527-0250
Entity
Organization
Contact information
Practice address
1401 MAIN ST, FOLLANSBEE, WV 26037-1217
(304) 527-0250
(304) 527-0888
Mailing address
1401 MAIN ST, FOLLANSBEE, WV 26037-1217
(304) 527-0250
(304) 527-0888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3459
WV
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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