Individual
DR. AUTUMN DENISE KERCHEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
604 WILSON ST, MARTINSBURG, WV 25401
(304) 263-5963
Mailing address
604 WILSON ST, MARTINSBURG, WV 25401
(304) 263-5963
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2599 SPECIALTY #67
WV
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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