Individual
DR. FRANCES SELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
105 W 78TH PL, MERRILLVILLE, IN 46410-5468
(219) 736-2368
Mailing address
105 W 78TH PL, MERRILLVILLE, IN 46410-5468
(219) 736-2368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012365A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1420509052
LICENSE
IN
Enumeration date
10/20/2015
Last updated
10/20/2015
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