Organization
CRUIKSHANK & MATHIAS DENTISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MATTHEW MATHIAS DDS (VICE PRESIDENT DENTIST)
(304) 267-8702
Entity
Organization
Contact information
Practice address
215 S LOUISIANA AVENUE, MARTINSBURG, WV 25401-2037
(304) 267-8702
(304) 263-2787
Mailing address
215 S LOUISIANA AVENUE, MARTINSBURG, WV 25401-2037
(304) 267-8702
(304) 263-2787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV 1794
WV
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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