Individual
DR. JACQUELINE HOWARD STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1321 VIRGINIA ST E STE 1, CHARLESTON, WV 25301-3053
(304) 343-8805
(304) 343-8806
Mailing address
1321 VIRGINIA ST E STE 1, CHARLESTON, WV 25301-3053
(304) 343-8805
(304) 343-8806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3990
WV
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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