Individual
DR. BRYAN JAY SEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1213 PRAIRIE PKWY, WEST FARGO, ND 58078-3134
(701) 282-5250
(701) 282-8067
Mailing address
1213 PRAIRIE PKWY, WEST FARGO, ND 58078-3134
(701) 282-5250
(701) 282-8067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1958
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41370
—
ND
01
—
949138
BLUE CROSS BLUE SHIELD
ND
Enumeration date
02/26/2007
Last updated
07/08/2007
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