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Jacob D Kelly Dds, Inc.
Dental Clinic/Center in Roseville, California
NPI 1447821319

Jacob D Kelly Dds, Inc. is a Dental Clinic/Center based in Roseville, CA and is specialized in Dental. Jacob D Kelly Dds, Inc. practices in Roseville, CA. The NPI Number for Jacob D Kelly Dds, Inc. is 1447821319 and holds a License No. (California).

The current practice location address for Jacob D Kelly Dds, Inc. is 2360 Professional Dr Ste 100, Roseville, CA and can be reached out via phone at 916-782-9479 and via fax at 916-782-3342.

Location: 2360 Professional Dr Ste 100, Roseville, CA, 95661-7782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447821319
Provider Name
Jacob D Kelly Dds, Inc.
Credential
Provider Entity Type
Organization
Address
2360 Professional Dr Ste 100, Roseville, CA, 95661-7782
Phone Number
916-782-9479
Fax Number
916-782-3342
Provider Enumeration Date
07/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2360 Professional Dr Ste 100
City
Roseville
State
California
Zip
95661-7782
Phone Number
916-782-9479
Fax Number
916-782-3342
person
Provider Business Mailing Address Details
Address
2360 Professional Dr Ste 100
City
Roseville
State
California
Zip
95661-7782
Phone Number
916-782-9479
Fax Number
916-782-3342
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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