Individual
CHARLES W SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
724 9TH AVE, HUNTINGTON, WV 25701-2719
(304) 525-0016
(304) 525-4088
Mailing address
724 9TH AVE, HUNTINGTON, WV 25701-2719
(304) 525-0016
(304) 525-4088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2223
WV
Other
Enumeration date
02/27/2006
Last updated
08/15/2007
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