Individual
KEITH T SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
6406 CARMEL RD, SUITE 309, CHARLOTTE, NC 28226-8061
(704) 542-9995
(704) 542-9489
Mailing address
6406 CARMEL RD, SUITE 309, CHARLOTTE, NC 28226-8061
(704) 542-9995
(704) 542-9489
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5055
NC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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