Individual
AVA SELYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
351 W SCHUYLKILL RD STE G-15A, POTTSTOWN, PA 19465-7438
(610) 326-9460
(610) 222-5006
Mailing address
351 W SCHUYLKILL RD STE G-15A, POTTSTOWN, PA 19465-7438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16045
MD
122300000X
Dentist
DEN1001530
DC
122300000X
Dentist
Primary
DS040350
PA
Other
Enumeration date
05/22/2015
Last updated
11/08/2018
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