Organization
DIANA O FRUM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA O FRUM DDS (DENTIST PRES)
(304) 296-3786
Entity
Organization
Contact information
Practice address
406 HOLLAND AVENUE, WESTOVER, WV 26501
(304) 296-3786
(304) 292-5925
Mailing address
406 HOLLAND AVENUE, WESTOVER, WV 26501
(304) 296-3786
(304) 292-5925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2675
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137170001
—
WV
Enumeration date
10/27/2006
Last updated
08/22/2020
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