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Robert Selis DDS.INC

Dentist in San Diego, CA. Organization (NPI-2).

NPI number1003000233
StatusActive
Last updated in NPPESAug 30, 2007

Details

NPI
1003000233
Entity type
Organization (NPI-2)
Legal business name
Robert Selis DDS.INC
Organization subpart
No
Enumeration date
Aug 30, 2007
Last updated
Aug 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist18406CAYes

Practice location

3530 Camino Del Rio N
109
San Diego, CA 92108-1743

Phone 619-283-2093

Mailing address

3530 Camino Del Rio N
109
San Diego, CA 92108-1743

Phone 619-283-2093

Authorized official

Robert R Selis
Dentist
6192832093

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