Individual
DR. BENJAMIN CLARK SELJESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 OLD CLEAR CREEK RD, CARSON CITY, NV 89705-6853
(775) 884-2020
Mailing address
700 OLD CLEAR CREEK RD, CARSON CITY, NV 89705-6853
(775) 884-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490
NV
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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