Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 8485 | MD |
NPI | 1023105004 |
---|---|
Provider Name | Dr. Sheldon Ronald Seidel |
First Address | Dunkirk, MD 20754-3031 |
Second Address | Dunkirk, MD 20754-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 08/07/2007 |