Individual
DANIELLE LARAE MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
250 VENTURE DR, MORGANTOWN, WV 26508-7301
(304) 241-4992
(304) 241-4023
Mailing address
250 VENTURE DR, MORGANTOWN, WV 26508-7301
(304) 241-4992
(304) 241-4023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4070
WV
Other
Enumeration date
07/31/2013
Last updated
12/01/2014
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