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Organization
JACK N. SELLERS DDS, P.C.
Active
Organization
JACK N. SELLERS DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK NICHOLS SELLERS D.D.S. (DENTIST (PRESIDENT))
(918) 967-4609
Entity
Organization
Contact information
Practice address
103 N.W. 9TH STREET, STIGLER, OK 74462
(918) 967-4609
(918) 967-9041
Mailing address
103 N.W. 9TH STREET, STIGLER, OK 74462
(918) 967-4609
(918) 967-9041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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