Ethan Lafferty, Dds, Pllc
NPI #1104605989 in Bluefield, West Virginia
Provider Information
- NPI Number
- 1104605989
- Entity Type
- Organization
- Organization Name
- Ethan Lafferty, Dds, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Sep 21, 2023
Practice Location
- Address
- 1321 STADIUM DR
- City
- Bluefield
- State
- West Virginia
- ZIP Code
- 24701-3318
- Phone
- (304) 327-7135
Authorized Official
- Name
- DR. ETHAN SHAMUS LAFFERTY, DDS
- Title
- OWNER
- Phone
- (304) 327-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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