Individual
RONALD JOHN CROTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1207 MORGANTOWN AVENUE, FAIRMONT, WV 26554-4503
(304) 366-7002
(304) 366-7020
Mailing address
1207 MORGANTOWN AVENUE, FAIRMONT, WV 26554-4503
(304) 366-7002
(304) 366-7020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2183
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134953000
—
WV
Enumeration date
11/02/2006
Last updated
07/08/2007
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