Individual
DR. MATTHEW DAVID STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1321 VIRGINIA ST E, CHARLESTON, WV 25301-3053
(304) 343-8805
(304) 343-8806
Mailing address
1321 VIRGINIA ST E, CHARLESTON, WV 25301-3053
(304) 343-8805
(304) 343-8806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3939
WV
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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