| Richard D. Sellen, Dds, Inc. | |
|
1600 Willow St Suite 150 San Jose CA 95125-5115 | |
| (408) 264-3133 | |
| (408) 264-2312 |
| Full Name | Richard D. Sellen, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 Willow St, San Jose, California |
| Authorized Official Name and Position | Richard Sellen (PRESIDENT) |
| Authorized Official Contact | 4805446744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Sellen, Dds, Inc. 1600 Willow St Suite 150 San Jose CA 95125-5115 Ph: (408) 264-3133 | Richard D. Sellen, Dds, Inc. 1600 Willow St Suite 150 San Jose CA 95125-5115 Ph: (408) 264-3133 |
| NPI Number | 1083149025 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083149025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (California) | Primary |
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