Organization
TKR ORAL MAXILLOFACIAL SURGEONS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRSTAL KAY THOMPSON DDS (PRESIDENT)
(304) 731-6688
Entity
Organization
Contact information
Practice address
914 JOHNSTOWN RD, BECKLEY, WV 25801-4938
(681) 207-3959
(681) 207-3958
Mailing address
914 JOHNSTOWN RD, BECKLEY, WV 25801-4938
(681) 207-3959
(681) 207-3958
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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