Individual
RENEE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 23RD AVE S STE 1200, FARGO, ND 58104-8784
(701) 929-4200
Mailing address
4575 23RD AVE S STE 1200, FARGO, ND 58104-8784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2288
ND
1223G0001X
General Practice Dentistry
7249
NE
Other
Enumeration date
07/10/2015
Last updated
12/24/2024
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