Individual
DR. ABDULLA A DOCTOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
RR 1 BOX 1369, WAYNE, WV 25570-9724
(304) 523-6553
(304) 523-4210
Mailing address
RR 1 BOX 1369, WAYNE, WV 25570-9724
(304) 523-6553
(304) 523-4210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2104
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135003000
—
WV
Enumeration date
06/17/2006
Last updated
07/08/2007
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