Individual
DR. JUSTIN WHETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1035 FLORIDA AVE, KEYSER, WV 26726-2804
(304) 788-6647
(301) 777-3624
Mailing address
10 LEE ST, PETERSBURG, WV 26847-9405
(304) 812-2125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4101
WV
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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