Organization
CHARLES TOWN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN WESTOVER DDS (OWNER / DENTIST)
(804) 405-9873
Entity
Organization
Contact information
Practice address
860 SOMERSET BLVD, CHARLES TOWN, WV 25414-5625
(681) 777-6459
Mailing address
860 SOMERSET BLVD, CHARLES TOWN, WV 25414-5625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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