Individual
DR. ASA DALE SELZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
667 COUNTY ROAD 2421, LEESBURG, TX 75451-2291
(903) 717-1156
Mailing address
PO BOX 235, 667 C. R. 2421, LEESBURG, TX 75451-0235
(903) 717-1156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10869
TX
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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