Individual provider · NPI-1

Khaled Alsharif

Dentist, Orthodontics and Dentofacial Orthopedics · Morgantown, WV

NPI number1568949337
StatusActive
Last updated in NPPESAug 12, 2021

Details

NPI
1568949337
Entity type
Individual (NPI-1)
Name
Khaled Alsharif
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2018
Certification date
Aug 12, 2021
Last updated
Aug 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics0401416206VAYes

Practice location

451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814

Phone 304-293-6208

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200

Phone 304-293-6208

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