Organization
KANAWHA COUNTY DENTAL HEALTH COUNCIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANNE MOORE (EXECUTIVE DIRECTOR)
(304) 348-6613
Entity
Organization
Contact information
Practice address
1900 SCHOOL ST, KDHC, CHARLESTON, WV 25312
(304) 348-6613
Mailing address
1900 SCHOOL ST, KANAWHA DENTAL HEALTH COUNCIL INC, CHARLESTON, WV 25312
(304) 348-6613
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012835000
—
WV
Enumeration date
03/12/2007
Last updated
08/22/2020
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