Organization
WHETZEL DENTISTRY PLLC
Active
Other names
Keyser Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN W WHETZEL DDS (OWNER)
(304) 788-6647
Entity
Organization
Contact information
Practice address
196 N. TORNADO WAY, SUITE 13, 196 N. TORNADO WAY, SUITE 13, KEYSER, WV 26726-6006
(304) 788-6647
(304) 788-8001
Mailing address
196 N. TORNADO WAY, SUITE 13, 196 N. TORNADO WAY, SUITE 13, KEYSER, WV 26726-6006
(304) 788-6647
(304) 788-8001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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