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Individual

DR. RAY P. VANDERHOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS,MS

Contact information

Practice address
46 TRIFECTA PL, SUITE 100, CHARLES TOWN, WV 25414-4958
(304) 725-0126
(304) 728-0182
Mailing address
46 TRIFECTA PL, SUITE 100, CHARLES TOWN, WV 25414-4958
(304) 725-0126
(304) 728-0182

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2594
WV

Other

Enumeration date
10/24/2006
Last updated
11/25/2008
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