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Organization

GARY SELBY DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY ROYAL SELBY DDS (DOCTOR)
(813) 654-0037
Entity
Organization

Contact information

Practice address
410 W BLOOMINGDALE AVE, BRANDON, FL 33511-7402
(813) 654-0037
(813) 654-0227
Mailing address
122 LAUREL TREE WAY, BRANDON, FL 33511-8030
(813) 654-0037
(813) 654-0227

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5777
FL

Other

Enumeration date
07/21/2006
Last updated
08/22/2020
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