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Organization
PAUL KELLY MAXILLOFACIAL PC
Active
Organization
PAUL KELLY MAXILLOFACIAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JOHN KELLY DMD MS (DOCTOR AND OWNER)
(480) 258-0879
Entity
Organization
Contact information
Practice address
726 N GREENFIELD RD, SUITE #117, GILBERT, AZ 85234-5061
(480) 258-0879
Mailing address
726 N GREENFIELD RD, SUITE #117, GILBERT, AZ 85234-5061
(480) 258-0879
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6913
AZ
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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