DRS. KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC is an oral and maxillofacial surgery dentist in Parkersburg, WV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DRS. KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC NPI is 1356772677. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mt State Oral & Maxillofacial Surge.
The provider's business location address is:
417 GRAND PARK DR
SUITE 103
PARKERSBURG, WV
ZIP 26105
Phone: (304) 699-5010
Fax: (304) 553-7268
The provider's authorized official is Lesley Marie Coyner .
The authorized official title is Credentialing and has the following contact phone number (304) 720-7819.
The CLIA number assigned to this NPI record is 51D2088632 - other - oral & maxillofacial surg with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/12/2013 and was last updated on 12/3/2020.