| Mitri A. Ghareeb, Dds, Pc | |
|
5480 Big Tyler Road Suite 1 Cross Lanes WV 25313 | |
| (304) 776-1212 | |
| (304) 776-4542 |
| Full Name | Mitri A. Ghareeb, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 5480 Big Tyler Road, Cross Lanes, West Virginia |
| Authorized Official Name and Position | Mitri Alberto Ghareeb (PRESIDENT) |
| Authorized Official Contact | 3047764541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitri A. Ghareeb, Dds, Pc 5480 Big Tyler Road Suite 1 Cross Lanes WV 25313 Ph: (304) 776-1212 | Mitri A. Ghareeb, Dds, Pc 5480 Big Tyler Road Suite 1 Cross Lanes WV 25313 Ph: (304) 776-1212 |
| NPI Number | 1083853683 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083853683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3713 (West Virginia) | Primary |
Stan Kaczkowski Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5376 Big Tyler Rd, Cross Lanes, WV 25313 Phone: 304-776-2223 | |
Ghareeb & Ghareeb Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 Cross Lanes Dr, Cross Lanes, WV 25313 Phone: 304-776-4541 Fax: 304-776-4542 | |
Amanda Springer Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5376 Big Tyler Rd, Cross Lanes, WV 25313 Phone: 304-776-2223 Fax: 304-776-2223 |