Individual
MRS. STACEY ANN SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2701 9TH AVE S, FARGO, ND 58103-8712
(701) 364-9990
(701) 364-9992
Mailing address
2701 9TH AVE S, FARGO, ND 58103-8712
(701) 364-9990
(701) 364-9992
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
761
ND
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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