| Andrada & Rose, Inc | |
|
220 Ragland Rd Beckley WV 25801-9721 | |
| (304) 252-1509 | |
| (304) 252-1890 |
| Full Name | Andrada & Rose, Inc |
|---|---|
| Speciality | Dentist |
| Location | 220 Ragland Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Paul Todd Rose (PRESIDENT) |
| Authorized Official Contact | 3042521509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrada & Rose, Inc 220 Ragland Rd Beckley WV 25801-9721 Ph: (304) 252-1509 | Andrada & Rose, Inc 220 Ragland Rd Beckley WV 25801-9721 Ph: (304) 252-1509 |
| NPI Number | 1932326667 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932326667 | NPI | - | NPPES |
| 3810004766 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WV3040 (West Virginia) | Primary |
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