Individual
DR. GEORGE DANIEL SELLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(850) 291-3733
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(850) 291-3733
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS027781L
PA
Other
Enumeration date
10/02/2006
Last updated
09/06/2021
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