DR. Ronald Charles Selis, DMD, PC

NPI #1104823111 in Portland, Oregon

Provider Information

NPI Number
1104823111
Entity Type
Individual
Name
DR. Ronald Charles Selis, DMD, PC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DMD, PC
Enumeration Date
Jul 5, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2422 NE FREMONT ST
State
Oregon
ZIP Code
97212-2509
Phone
(503) 287-1554

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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