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DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC

Organization (NPI-2) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1073211637
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
869 OAKWOOD RD, CHARLESTON, WV, 253142057
Phone
(304) 345-1092

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary

All Addresses

LOCATION

869 OAKWOOD RD

CHARLESTON, WV, 253142057

(304) 345-1092

MAILING

103 STATION PLACE WAY

HURRICANE, WV, 255268747

(304) 720-7819