Organization
HUNTINGTON DENTAL PLLC
Active
Other names
Huntington Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAKE (OWNER)
(501) 781-2777
Entity
Organization
Contact information
Practice address
6353 E PEA RIDGE RD, HUNTINGTON, WV 25705-2525
(304) 736-4794
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450
(501) 781-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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