Individual
DR. JOHN BYRON WILFONG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 E MAIN ST, BUCKHANNON, WV 26201-2715
(304) 472-4954
Mailing address
1032 LAUREN DR, BRIDGEPORT, WV 26330-9676
(304) 695-2999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4639
WV
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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