Organization
CONKLIN & DOERSCH DDS INC
Active
Other names
TLC Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA GREEN (OFFICE MANAGER)
(304) 436-6007
Entity
Organization
Contact information
Practice address
8 WYOMING ST, STE 301, WELCH, WV 24801-2429
(304) 436-6007
(304) 436-6009
Mailing address
8 WYOMING ST, SUITE 301, WELCH, WV 24801-2429
(304) 436-6007
(304) 436-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003513
—
WV
Enumeration date
08/29/2006
Last updated
09/20/2012
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