Individual
JON PAUL KARDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22 FLEMING DR, HARTS, WV 25524-9788
(304) 855-4595
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3263
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134442000
—
WV
Enumeration date
01/19/2006
Last updated
09/16/2013
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