Organization
FAMILY DENTISTRY OF WESTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYLA HUDIMAC D.D.S. (MEMBER)
(304) 312-1652
Entity
Organization
Contact information
Practice address
19 GARTON PLZ, WESTON, WV 26452-2128
(304) 269-6151
Mailing address
19 GARTON PLZ, WESTON, WV 26452-2128
(304) 269-6151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4212
WV
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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