DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1346201183- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1215 VIRGINIA ST E, CHARLESTON, WV, 25301
- Phone
- (304) 345-1092
- Fax
- (304) 345-5080
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary