Organization
CHARLESTON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST NORMAN PENNINGTON D.D.S (DENTIST)
(304) 344-0344
Entity
Organization
Contact information
Practice address
111 BROOKS ST, CHARLESTON, WV 25301-2904
(304) 344-0344
(304) 344-0354
Mailing address
111 BROOKS ST, CHARLESTON, WV 25301-2904
(304) 344-0344
(304) 344-0354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2194
WV
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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