DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1053561779- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3135 16TH STREET RD SUITE 20, HUNTINGTON, WV, 25701
- Phone
- (304) 399-1092
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: WV