Organization
M H DILL AND C W SISSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W SISSON DDS (PRESIDENT)
(304) 525-0016
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
2223
WV
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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