Individual
SELIN ORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
23-00 ROUTE 208 STE 2-8, FAIR LAWN, NJ 07410-1558
(201) 796-4111
Mailing address
227 S BONSALL ST, PHILADELPHIA, PA 19103-5507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02962100
NJ
1223P0221X
Pediatric Dentistry
Primary
22DI02962100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2020
Last updated
02/23/2026
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