Organization
CONKLIN & DOERSCH DDS INC
Active
Other names
Bluefield Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DREMA SOUTHERN (OFFICE MANAGER)
(304) 324-8703
Entity
Organization
Contact information
Practice address
1607 MARYLAND AVE, BLUEFIELD, WV 24701
(304) 324-8703
(304) 324-8735
Mailing address
1607 MARYLAND AVE, BLUEFIELD, WV 24701
(304) 324-8703
(304) 324-8735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002955
—
WV
Enumeration date
08/29/2006
Last updated
09/20/2012
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