Individual
DR. LAUREN PECTYO NAMSUPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3412 UNIVERSITY AVE, MORGANTOWN, WV 26505-7220
(304) 381-3331
Mailing address
3412 UNIVERSITY AVE, MORGANTOWN, WV 26505-7220
(304) 381-3331
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3832
WV
1223E0200X
Endodontics
DS038864
PA
1223G0001X
General Practice Dentistry
3832
WV
Other
Enumeration date
07/21/2008
Last updated
04/15/2016
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