DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1356772677- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 417 GRAND PARK DR SUITE 103, PARKERSBURG, WV, 26105
- Phone
- (304) 699-5010
- Fax
- (304) 553-7268
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: WV