Individual
MR. JOHN C WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
809 MINERAL RD, GLENVILLE, WV 26351-0700
(304) 462-7343
(304) 462-7336
Mailing address
PO BOX 700, GLENVILLE, WV 26351-0700
(304) 462-7343
(304) 462-7336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2138
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136125000
—
WV
01
—
2138
DENTAL LISC
WV
Enumeration date
11/28/2006
Last updated
07/08/2007
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