Individual
DEEP GOHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
42 MCGINNIS DR, WAYNE, WV 25570-9553
(304) 272-5136
(304) 272-6261
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4651
WV
1223G0001X
General Practice Dentistry
Primary
4651
WV
Other
Enumeration date
05/01/2022
Last updated
08/24/2023
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