Individual
DUSTIN YOAKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-1922
Mailing address
1230 GRASSY MEADOWS RD, SMOOT, WV 24977-9500
(304) 667-0539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4692
WV
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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