Individual
TRACI LEIGH WILSON SEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1830 LISTRAVIA AVE, MORGANTOWN, WV 26505-6318
(412) 400-1073
Mailing address
1293 HALLECK RD, MORGANTOWN, WV 26508-2373
(412) 400-1073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13914
MD
1223G0001X
General Practice Dentistry
DS036990
PA
1223G0001X
General Practice Dentistry
Primary
WV 3787
WV
Other
Enumeration date
12/27/2006
Last updated
05/12/2008
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