Organization
CHARLES L. WYLIE DDS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L WYLIE DDS (DR)
(304) 845-2480
Entity
Organization
Contact information
Practice address
1589 WHEELING AVE, GLEN DALE, WV 26038-1731
(304) 845-2480
Mailing address
1589 WHEELING AVE, GLEN DALE, WV 26038-1731
(304) 845-2480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV2926
WV
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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