Organization
RANDY G SEELY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY SEELY DDS (OWNER/ PRES.)
(972) 436-9121
Entity
Organization
Contact information
Practice address
326 S EDMONDS LN, 101, LEWISVILLE, TX 75067-3580
(972) 436-9121
Mailing address
326 S EDMONDS LN, 101, LEWISVILLE, TX 75067-3580
(972) 436-9121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12386
TX
Other
Enumeration date
09/24/2006
Last updated
08/22/2020
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