| Wv Pediatric Dentistry Pllc | |
|
1004 Sushruta Dr Ste D Martinsburg WV 25401-8801 | |
| (205) 249-6175 | |
| Not Available |
| Full Name | Wv Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1004 Sushruta Dr Ste D, Martinsburg, West Virginia |
| Authorized Official Name and Position | Iiaya Ramanan Rajagopal (OWNER) |
| Authorized Official Contact | 2052496175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wv Pediatric Dentistry Pllc 1004 Sushruta Dr Ste D Martinsburg WV 25401-8801 Ph: (205) 249-6175 | Wv Pediatric Dentistry Pllc 1004 Sushruta Dr Ste D Martinsburg WV 25401-8801 Ph: (205) 249-6175 |
| NPI Number | 1427709682 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427709682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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