NPI 1700567500

Desiree Addis

Practitioner Dental Assistant Clarksburg, WV

Practice location

Address: 1 Med Center Dr, Clarksburg, WV 26301-4155
Phone: (304) 623-7640

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in West Virginia →

Registry record

NPI: 1700567500
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2023
Record last updated: 26 Jul 2023

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.