Organization
SPADAFORE ORTHODONTICS, INC.
Active
Organization
SPADAFORE ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A SPADAFORE DDS, MSD (PRESIDENT)
(304) 233-1180
Entity
Organization
Contact information
Practice address
111 PARK VIEW LN, WHEELING, WV 26003-5493
(304) 233-1180
(304) 233-1196
Mailing address
111 PARK VIEW LN, WHEELING, WV 26003-5493
(304) 233-1180
(304) 233-1196
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3035
WV
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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