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Individual

DR. ANTOINE ELIAS SKAFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4916 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 925-0234
Mailing address
4916 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 925-0234

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3049
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133122000
WV
Enumeration date
12/09/2006
Last updated
07/08/2007
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