Bruceton Dental Pllc
NPI #1215385935 in Bruceton Mills, West Virginia
Provider Information
- NPI Number
- 1215385935
- Entity Type
- Organization
- Organization Name
- Bruceton Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 3, 2016
- Last Updated
- Jun 3, 2016
Practice Location
- Address
- 128 GREEN STREET
- City
- Bruceton Mills
- State
- West Virginia
- ZIP Code
- 26525
- Phone
- (304) 379-8101
Authorized Official
- Name
- SCOTT REO OKUBO, DDS
- Title
- DDS/OWNER
- Phone
- (304) 379-8101
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