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Organization
H CHARLES MCKELVEY DDS INC
Active
Organization
H CHARLES MCKELVEY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H CHARLES MCKELVEY D.D.S. (OWNER)
(209) 532-2288
Entity
Organization
Contact information
Practice address
13975 MONO WAY, SUITE A, SONORA, CA 95370-2824
(209) 532-2288
(209) 532-2242
Mailing address
13975 MONO WAY, SUITE A, SONORA, CA 95370-2824
(209) 532-2288
(209) 532-2242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34879
CA
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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