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Organization

THOMAS E CONDRON DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS E CONDRON IX D.D.S (DENTIST)
(304) 623-4984
Entity
Organization

Contact information

Practice address
234 COURT ST, CLARKSBURG, WV 26301-2906
(304) 623-4984
(304) 623-2830
Mailing address
234 COURT ST, CLARKSBURG, WV 26301-2906
(304) 623-4984
(304) 623-2830

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV1963
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0134914000
WV
05
0137302000
WV
05
03810005032
WV
Enumeration date
12/20/2006
Last updated
03/14/2017
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