Charles L. Wylie DDS Group
NPI #1356557706 in Glen Dale, West Virginia
Provider Information
- NPI Number
- 1356557706
- Entity Type
- Organization
- Organization Name
- Charles L. Wylie DDS Group
- Primary Specialty
- Dentist
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1589 WHEELING AVE
- City
- Glen Dale
- State
- West Virginia
- ZIP Code
- 26038-1731
- Phone
- (304) 845-2480
Authorized Official
- Name
- DR. CHARLES L WYLIE, DDS
- Title
- DR
- Phone
- (304) 845-2480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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