Individual
IAN SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
Mailing address
4101 DARBY LN, FARMINGTON, NM 87402-4875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5483
NM
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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