Dr. Russell Tritapoe DDS Pllc

NPI #1609250729 in Fort Ashby, West Virginia

Provider Information

NPI Number: 1609250729
Entity Type: Organization
Organization Name: Dr. Russell Tritapoe DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 18, 2015
Last Updated: Jul 18, 2015

Practice Location

Address: 58 PRESIDENTS STREET
City: Fort Ashby
State: West Virginia
ZIP Code: 26719-0738
Phone: (304) 298-3501

Authorized Official

Name: DR. RUSSELL TRITAPOE, DDS
Title: OWNER
Phone: (304) 298-3501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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