Graduated: 1971
NPI: 1457494460
Practice Locations (3)
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 26507
3042936129
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
PO BOX
MORGANTOWN, WV 26507
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
PO BOX, SUITE 1587
MORGANTOWN, WV 265071587
Source: CMS National Downloadable File, September 2026.