Organization
MORGANTOWN DENTAL, PLLC
Active
Other names
MMS Dental Implants and Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
2000 HAMPTON CTR STE A, MORGANTOWN, WV 26505-1704
(304) 906-4900
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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