Individual
DR. CHRISTINE L DEARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
430 MORGANTOWN ST, KINGWOOD, WV 26537-1093
(304) 329-3142
Mailing address
430 MORGANTOWN ST, KINGWOOD, WV 26537-1093
(304) 329-3142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3416
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4040010000
—
WV
Enumeration date
06/07/2013
Last updated
06/07/2013
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