Individual
DR. PHILIP M MAJESTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
830 OAKWOOD RD, CHARLESTON, WV 25314-2010
(304) 344-4003
(304) 720-2393
Mailing address
830 OAKWOOD RD, CHARLESTON, WV 25314-0000
(304) 344-4003
(304) 720-2393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3193
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000830081
BLUE CROSS BLUE SHIELD
WV
05
—
0134101000
—
WV
Enumeration date
01/30/2007
Last updated
07/08/2007
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