Organization
DR L E COLE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E COLE DDS (PRESIDENT OF CORPORATION DENTIST)
(304) 664-8163
Entity
Organization
Contact information
Practice address
RT 52, GILBERT, WV 25621-1298
(304) 664-8163
Mailing address
PO BOX 1298, GILBERT, WV 25621-1298
(304) 664-8163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2991
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133824000
—
WV
Enumeration date
10/06/2006
Last updated
08/22/2020
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