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Individual

DR. CHARLES EDWARD MCELFISH IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3979 TEAYS VALLEY RD, HURRICANE, WV 25526-9082
(304) 757-7590
(304) 757-4108
Mailing address
PO BOX 1127, SCOTT DEPOT, WV 25560-1127
(304) 757-7590
(304) 757-4108

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2191
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0135652000
WV
Enumeration date
11/21/2006
Last updated
07/08/2007
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