NPI | 1821216474 |
---|---|
Other Name | DR. BENJAMIN C. SELJESTAD |
Entity Type | Organization |
Authorized Contact | BENJAMIN CLARK SELJESTAD Od 775-884-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 490) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2022-01-04 |