Most Relevant Information
Provider Data
NPI Number: | 1003020942 |
Provider Name: | PAUL GAINER D.D.S. |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | WV3117 |
Most Important Dates
Enumeration Date: | 05/10/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
RR 3 BOX 345
CLARKSBURG
WV
263019689
Practice Location Phone/Fax
Phone: | 3046243840 |
Fax: |
Provider Mailing Location
RR 3 BOX 345
CLARKSBURG
WV
263019689
Provider Mailing Phone/Fax
Phone: | 3046243840 |
Fax: |