Organization
SAMI M. GHAREEB, DDS
Active
Other names
Ghareeb Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY BOGGESS (BUSINESS MANAGER)
(304) 757-7441
Entity
Organization
Contact information
Practice address
178 MAIN ST., POCA, WV 25159
(304) 755-3931
Mailing address
PO BOX 566, POCA, WV 25159-0566
(304) 755-3931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2118
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780791061
INDIVIDUAL NPI #
WV
Enumeration date
05/03/2007
Last updated
01/21/2014
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