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Individual

DR. CHARLES LOUIS SEITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
907 51ST ST, VIENNA, WV 26105-3141
(304) 295-6527
Mailing address
417 GRAND PARK DR, PARKERSBURG, WV 26105-4049
(304) 422-6477

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1931
WV

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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