Organization
GARY G NAYLOR DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GRANT NAYLOR DDS (MEMBER)
(304) 329-2682
Entity
Organization
Contact information
Practice address
202 TUNNELTON ST STE 214, KINGWOOD, WV 26537-1452
(304) 329-1989
Mailing address
RR 1 BOX 402, KINGWOOD, WV 26537-9715
(304) 329-2682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1969
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135772001
—
WV
Enumeration date
08/31/2006
Last updated
09/09/2008
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