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Individual

DR. GARY ROYAL SELBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
410 W BLOOMINGDALE AVE, BRANDON, FL 33511-7402
(813) 654-0037
(813) 654-0227
Mailing address
122 LAUREL TREE WAY, BRANDON, FL 33511-8030
(813) 654-0037
(813) 654-0227

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5777
FL

Other

Enumeration date
07/21/2006
Last updated
07/08/2007
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