Individual
DR. RICHARD LEE MECKSTROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
ONE MEDICAL CENTER DR., ROBERT C. BYRD HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9415
(304) 293-5912
(304) 293-8561
Mailing address
ONE MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-9415
(304) 293-5912
(304) 293-8561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2246
WV
1223D0001X
Public Health Dentistry
2246
WV
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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