Organization
RICHARD D. SELLEN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SELLEN DDS (PRESIDENT)
(480) 544-6744
Entity
Organization
Contact information
Practice address
1600 WILLOW ST, SUITE 150, SAN JOSE, CA 95125-5115
(408) 264-3133
(408) 264-2312
Mailing address
1600 WILLOW ST, SUITE 150, SAN JOSE, CA 95125-5115
(408) 264-3133
(408) 264-2312
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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