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Kelly Dental Llc
Dental Clinic/Center in Springfield, Missouri
NPI 1922435148

Kelly Dental Llc is a Dental Clinic/Center based in Springfield, MO and is specialized in Dental. Kelly Dental Llc practices in Springfield, MO. The NPI Number for Kelly Dental Llc is 1922435148 and holds a License No. 2013017374 (Missouri).

The current practice location address for Kelly Dental Llc is 1655 S. Enterprise Ave Ste. A-3, Springfield, MO and can be reached out via phone at 417-881-1213 and via fax at 417-877-8156.

Location: 1655 S. Enterprise Ave Ste. A-3, Springfield, MO, 65804-1864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922435148
Provider Name
Kelly Dental Llc
Credential
Provider Entity Type
Organization
Address
1655 S. Enterprise Ave Ste. A-3, Springfield, MO, 65804-1864
Phone Number
417-881-1213
Fax Number
417-877-8156
Provider Enumeration Date
10/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1655 S. Enterprise Ave Ste. A-3
City
Springfield
State
Missouri
Zip
65804
Phone Number
417-881-1213
Fax Number
417-877-8156
person
Provider Business Mailing Address Details
Address
1655 S. Enterprise Ave Ste. A-3
City
Springfield
State
Missouri
Zip
65804
Phone Number
417-881-1213
Fax Number
417-877-8156
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2013017374 (Missouri)
Definition
Definition to come...
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