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Organization

ERICA B. PATTHOFF, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE COFFEY (OFFICE MANAGER)
(304) 263-0411
Entity
Organization

Contact information

Practice address
300 FOXCROFT AVE STE 302, MARTINSBURG, WV 25401-5341
(304) 263-0411
(304) 263-3288
Mailing address
300 FOXCROFT AVE STE 302, MARTINSBURG, WV 25401-5341
(304) 263-0411
(304) 263-3288

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3624
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810012339
WV
Enumeration date
08/07/2018
Last updated
08/07/2018
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