Canestraro, Victor R

Canestraro, Victor R is an sole proprietor health care provider with primary practice located at 1052 E Bethlehem Blvd , Wheeling WV 26003-4961. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Canestraro, Victor R can be contacted via phone (304) 233-1244.

Contact Information

Primary practice address
1052 E Bethlehem Blvd Wheeling WV 26003-4961
Fax: (304) 233-1248
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3577 West Virginia

Profile Details

NPI number 1194894071
LBN Legal business name Canestraro, Victor R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194894071 NPPES
West Virginia MEDICAID 3810000474

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