NPI 1881203156

Alba Sanjuan Sanjuan, MD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Charleston, WV

Practice location

Address: 415 Morris St STE 309, Charleston, WV 25301
Phone: (304) 388-3290
Fax: (304) 388-3186
Mailing address: 415 Morris St STE 309, Charleston, WV 25301-1853

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 31823 (WV)

Other Oral & Maxillofacial Surgery providers in West Virginia →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 4352000978 (MI)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in West Virginia →

Registry record

NPI: 1881203156
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2020
Record last updated: 25 Sep 2022

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.