Individual
MR. JOEL CHARLES FLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFPT/CDT
Contact information
Practice address
514 PITTSBURGH AVE, FAIRMONT, WV 26554-4162
(304) 366-8950
(304) 366-3519
Mailing address
514 PITTSBURGH AVE, FAIRMONT, WV 26554-4162
(304) 366-8950
(304) 366-3519
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
1028-9815
WV
246ZA2600X
Medical Art Specialist/Technologist
Primary
1028-9815
WV
247200000X
Other Technician
1028-9815
WV
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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