Organization
G WAYNE CHRISTIAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G WAYNE CHRISTIAN DDS (PRESIDENT)
(304) 343-2799
Entity
Organization
Contact information
Practice address
112 MORRIS ST, CHARLESTON, WV 25301
(304) 343-2799
(304) 345-5114
Mailing address
112 MORRIS ST, CHARLESTON, WV 25301
(304) 343-2799
(304) 345-5114
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1905
WV
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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