Individual
VIVIA SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
451, WVU DENTAL CARE, SUNCREST TOWNE CENTER, MORGANTOWN, WV 26505-2650
(304) 780-4820
Mailing address
1321 VALLEY VIEW WOODS,, VALLEY VIEW AV,, MORGANTOWN, WV 26505
(304) 780-4820
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
IP1801
WV
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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