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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
1235546813
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
150 BROOKSHIRE LN, BECKLEY, WV, 25801
Phone
(304) 345-1092
Fax
(304) 345-5080

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary

All Addresses

LOCATION

150 BROOKSHIRE LN

BECKLEY, WV, 25801

(304) 345-1092

MAILING

103 STATION PLACE WAY

HURRICANE, WV, 255268747

(304) 720-7819