Individual
KATHERINE BRIANNA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
1332 STEED ST, RANSON, WV 25438-5708
(720) 839-5978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4325
WV
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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