Individual
DR. DANIEL JOSEPH TATICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 TELETECH DRIVE, SUITE B, MOUNDSVILLE, WV 26041
(304) 845-4848
Mailing address
200 TELETECH DRIVE, SUITE B, MOUNDSVILLE, WV 26041
(304) 845-4848
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3504
WV
Other
Enumeration date
10/20/2006
Last updated
08/03/2007
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