Individual
DR. MICHAEL B. CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2924 JACKSON AVE, POINT PLEASANT, WV 25550-1716
(304) 675-1932
(304) 675-6553
Mailing address
2924 JACKSON AVE, POINT PLEASANT, WV 25550-1716
(304) 675-1932
(304) 675-6553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV2990
WV
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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