Individual
DR. MAUREENA L ANDREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
104 KOHLER ST, PARSONS, WV 26287
(304) 478-4700
Mailing address
104 KOHLER ST, PARSONS, WV 26287
(304) 478-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV2790
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132825000
—
WV
Enumeration date
08/11/2006
Last updated
07/08/2007
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