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Organization

MAIN STREET DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY HAMRICK (DENTIST/OWNER)
(304) 986-2610
Entity
Organization

Contact information

Practice address
330 E MAIN ST, MANNINGTON, WV 26582-1102
(304) 986-2610
(304) 986-2616
Mailing address
330 E MAIN ST, MANNINGTON, WV 26582-1102
(304) 986-2610
(304) 986-2616

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/21/2024
Last updated
02/21/2024
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