Organization
WESLEY A. PATE, D.D.S. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY A PATE D.D.S. (MANAGING MEMBER)
(304) 723-1514
Entity
Organization
Contact information
Practice address
382 PENCO RD, WEIRTON, WV 26062-3813
(304) 723-1514
Mailing address
382 PENCO RD, WEIRTON, WV 26062-3813
(304) 723-1514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2635
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136818000
—
WV
Enumeration date
12/21/2006
Last updated
09/24/2013
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