Individual
DR. JACK RONALD CHAMBERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 AUGUSTINE AVENUE, CHARLES TOWN, WV 25414
(304) 725-7044
(304) 724-5299
Mailing address
PO BOX 879, RANSON, WV 25438
(304) 725-7044
(304) 724-5299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2724
WV
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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