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Organization
KELLY FAMILY AND COSMETIC DENTISTRY
Active
Organization
KELLY FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KELLY DDS (GENERAL DENTIST)
(734) 353-9291
Entity
Organization
Contact information
Practice address
2358 GENOA BUSINESS PARK DR, BRIGHTON, MI 48114-7366
(810) 227-4111
Mailing address
2358 GENOA BUSINESS PARK DR, BRIGHTON, MI 48114-7366
(810) 227-4111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
11/11/2023
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