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Individual

DR. ASA BRENT SELZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8604 S NORMANDALE ST, FORT WORTH, TX 76116-6140
(817) 244-0180
(817) 244-0180
Mailing address
8604 S NORMANDALE ST, FORT WORTH, TX 76116-6140
(817) 244-0180
(817) 244-0180

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23259
TX

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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