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Individual

DR. ROBERT L SELDERS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
925 SECOND AVENUE, LAKE CHARLES, LA 70601
(337) 433-2524
(337) 433-2330
Mailing address
925 SECOND AVENUE, LAKE CHARLES, LA 70601
(337) 433-2524
(337) 433-2330

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4008
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1840084
LA
Enumeration date
08/25/2006
Last updated
07/08/2007
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