Individual
DR. MITCHELL TODD SELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9351 VIKING CENTER DR STE 101, LOUISVILLE, KY 40222-5701
(502) 901-2135
Mailing address
1049 SHELTER LN, LANSING, MI 48912-5023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11385
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2025
Last updated
06/04/2025
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