Organization
MORGANTOWN DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MICHAEL WILSON DDS (OWNER)
(304) 292-7307
Entity
Organization
Contact information
Practice address
142 HIGH ST, MORGANTOWN, WV 26505-5413
(304) 292-7307
(304) 292-1154
Mailing address
142 HIGH ST, MORGANTOWN, WV 26505-5413
(304) 292-7307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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