Individual
MADISON SELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
116 MARKET PLACE CIR STE A, GEORGETOWN, KY 40324-7400
(502) 907-2228
Mailing address
750 SHAKER DR APT 613, LEXINGTON, KY 40504-3720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11140
KY
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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