| Drs Selberg & Rice Pllc | |
|
4945 Stone Falls Ctr Ste B O Fallon IL 62269-7801 | |
| (618) 622-0212 | |
| Not Available |
| Full Name | Drs Selberg & Rice Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4945 Stone Falls Ctr Ste B, O Fallon, Illinois |
| Authorized Official Name and Position | Lydie Fritz (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 6186222916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Selberg & Rice Pllc 4945 Stone Falls Ctr Ste B O Fallon IL 62269-7801 Ph: (618) 622-0212 | Drs Selberg & Rice Pllc 4945 Stone Falls Ctr Ste B O Fallon IL 62269-7801 Ph: (618) 622-0212 |
| NPI Number | 1710450754 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710450754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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