Individual
KRYSTA SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
1019 W VILLARD ST, DICKINSON, ND 58601-4845
(701) 400-7283
Mailing address
2308 MARINA RD SE, MANDAN, ND 58554-6320
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2181
ND
Other
Enumeration date
04/23/2014
Last updated
08/12/2014
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