Organization
MARK B. VECCHIO, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIAN VECCHIO D.D.S. (OWERER)
(304) 842-3577
Entity
Organization
Contact information
Practice address
200 ORCHARD AVE, BRIDGEPORT, WV 26330-1737
(304) 842-3577
(304) 842-3231
Mailing address
200 ORCHARD AVE, BRIDGEPORT, WV 26330-1737
(304) 842-3577
(304) 842-3231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2779
WV
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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