Hairston Family Dentistry

NPI #1407397516 in Ravenswood, West Virginia

Provider Information

NPI Number: 1407397516
Entity Type: Organization
Organization Name: Hairston Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 255 WASHINGTON ST
City: Ravenswood
State: West Virginia
ZIP Code: 26164-1874
Phone: (304) 273-5301

Authorized Official

Name: DR. LEAH RAE HAIRSTON, DDS
Title: OWNER DENTIST
Phone: (304) 542-7860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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