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Organization

MORGANTOWN DENTAL, PLLC

Active
Other names
Meridian Dental Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
JANET ANTONINI (CREDENTIALING)
(304) 765-5019
Entity
Organization

Contact information

Practice address
9000 COOMBS FARM DR, STE 304, MORGANTOWN, WV 26508
(304) 594-1670
(304) 594-1671
Mailing address
9000 COOMBS FARM DR, STE 304, MORGANTOWN, WV 26508
(304) 594-1670
(304) 594-1671

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3456
WV
1223E0200X
Endodontics
3682
WV
1223E0200X
Endodontics
3815
WV
1223E0200X
Endodontics
4092
WV

Other

Enumeration date
06/06/2018
Last updated
10/26/2023
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