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Organization

CHAD J LANCASTER, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD LANCASTER DDS (OWNER)
(304) 364-8565
Entity
Organization

Contact information

Practice address
715 ELK ST, GASSAWAY, WV 26624-1113
(304) 364-8565
Mailing address
PO BOX 307, GASSAWAY, WV 26624-0307
(304) 364-8565

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/24/2018
Last updated
07/24/2018
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