NPI 1417172156
Theresia Lynn Titus, RDH
Practice location
- Address
- 17978 Sr 55, Baker, WV 26801
- Phone
- (304) 897-5915
- Fax
- (304) 897-6216
- Mailing address
- 1905 Michael Ave, Petersburg, WV 26847-9460
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1417172156
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.