Organization
GHAREEB,DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRI A GHAREEB DDS (PRESIDENT)
(304) 757-7441
Entity
Organization
Contact information
Practice address
109 POPLAR FORK RD, SCOTT DEPOT, WV 25560-9766
(304) 757-7441
Mailing address
109 POPLAR FORK RD, SCOTT DEPOT, WV 25560-9766
(304) 757-7441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3713
WV
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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