Individual
SUSAN MICHELLE SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
259 HYDRAULIC RIDGE RD, SUITE 101, CHARLOTTESVILLE, VA 22901-8128
(434) 293-9300
Mailing address
PO BOX 32, NELLYSFORD, VA 22958-0032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412547
VA
Other
Enumeration date
07/15/2009
Last updated
03/14/2012
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