# KRYSTA L SELLERS DMD MSD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aesthetic Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639528334
- **Authorized official:** KRYSTA SELLERS D.M.D, M.S.D. (PROSTHODONTIST)
- **Authorized official phone:** (701) 400-7283

## Contact information

- **Practice address:** 1207 W DIVIDE AVE, BISMARCK, ND 58501-1290
- **Practice address phone:** (701) 400-7283
- **Mailing address:** 1207 W DIVIDE AVE, BISMARCK, ND 58501-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 2181 | ND | Yes |

## Other

- **Enumeration date:** 06/03/2016
- **Last updated:** 06/03/2016