# DAVID W. KELLINY, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588654073
- **Authorized official:** DR. DAVID WASFY KELLINY BDS, DDS (PRESIDENT/ DENTIST)
- **Authorized official phone:** (310) 793-2020

## Contact information

- **Practice address:** 22920 CRENSHAW BLVD, SUITE A, TORRANCE, CA 90505-3023
- **Practice address phone:** (310) 793-2020
- **Practice address fax:** (310) 793-2008
- **Mailing address:** 22920 CRENSHAW BLVD, SUITE A, TORRANCE, CA 90505-3023
- **Mailing address phone:** (310) 793-2020
- **Mailing address fax:** (310) 793-2008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 43354 | CA | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 10/07/2014