Individual
DR. ELIZABETH LAGUE WAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
234 COURT ST, CLARKSBURG, WV 26301-2906
(304) 623-4984
Mailing address
107 NEW CASTLE DR, MORGANTOWN, WV 26508-4261
(414) 467-7368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4075
WV
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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