Jeffrey Gary Minchau DDS,MS

NPI 1689895815 - Dentist - 1223E0200X

NPI Details
NPI 1689895815
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2401 CRANBERRY SQUARE
MORGANTOWN WV, 26508, US
Phone (304) 594-1670
Fax (304) 594-1671
Business Location
2401 CRANBERRY SQUARE
MORGANTOWN WV, 26508, US
Phone (304) 594-1670
Fax (304) 594-1671
Toxanomy
Taxonomy Code 1223E0200X
License State West Virginia
License Number 3456
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According to our database, Dr. Jeffrey Gary Minchau DDS,MS NPI is 1689895815, taxonomy code is 1223E0200X and license number is 3456, license state is located at West Virginia. Jeffrey Gary Minchau DDS,MS physically located at 2401 Cranberry Square, Morgantown WV, 26508. NPI Number Jeffrey Gary Minchau DDS,MS has the Individual type.

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1689895815 NPI number is provided on an as is basis without warranty of any kind. 1689895815 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Gary Minchau DDS,MS are for informational purposes only.