Organization
MITCHELL A SAGAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL ANDREW SAGAN DDS (DDS OWNER)
(304) 723-2021
Entity
Organization
Contact information
Practice address
420 ELAINE STREET, WEIRTON, WV 26062
(304) 723-2021
(304) 723-2030
Mailing address
420 ELAINE STREET, WEIRTON, WV 26062
(304) 723-2021
(304) 723-2030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2722
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132506000
—
WV
Enumeration date
03/23/2007
Last updated
08/22/2020
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