Individual
DR. DALTON WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4202 MACCORKLE AVE SE, CHARLESTON, WV 25304-2502
(304) 925-4761
(304) 925-0310
Mailing address
1201 KOEHLER DR, MORGANTOWN, WV 26508-1208
(304) 941-7614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3039-IOD
WV
172V00000X
Community Health Worker
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Other
Enumeration date
03/24/2021
Last updated
09/09/2024
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