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Organization

CHERYL S. SELLERS D.D.S. P.A.

Active
Other names
Children's Dental Ark
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL STASNY SELLERS DDS (PRESIDENT)
(830) 625-1234
Entity
Organization

Contact information

Practice address
610 LANDA STREET, NEW BRAUNFELS, TX 78130
(830) 625-1234
(830) 625-3266
Mailing address
610 LANDA STREET, NEW BRAUNFELS, TX 78130
(830) 625-1234
(830) 625-3266

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160235101
TX
Enumeration date
05/30/2006
Last updated
04/03/2012
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