Drs Brock, Henderson, Di Prisco, Ravelo and Green INC
NPI #1992766737 in Hurricane, West Virginia
Provider Information
- NPI Number
- 1992766737
- Entity Type
- Organization
- Organization Name
- Drs Brock, Henderson, Di Prisco, Ravelo and Green INC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 31, 2006
- Last Updated
- May 29, 2025
Practice Location
- Address
- 100A PRESTIGE PARK DR
- City
- Hurricane
- State
- West Virginia
- ZIP Code
- 25526
- Phone
- (304) 757-0272
Authorized Official
- Name
- LESLEY MARIE COYNER
- Title
- CREDENTIALING
- Phone
- (304) 720-7819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
Similar Providers
| Provider Name | |
|---|---|
| John E Brock, D.D.S. | |
| DR. David Allen Wallace, DDS, MS | |
| DR. Jack Issac Krajekian, D.M.D. | |
| DR. Byron Hal Black, DDS | |
| Raj K Khanna, DMD, MD |
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