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Organization
JOSEPH T. KELLY DMD PC
Active
Organization
JOSEPH T. KELLY DMD PC
Active
Other names
Kelly Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THOMAS KELLY JR. DMD (PRESIDENT/OWNER)
(570) 587-4787
Entity
Organization
Contact information
Practice address
103 WEST GROVE ST, CLARKS SUMMIT, PA 18411-2019
(570) 587-4787
(570) 586-2375
Mailing address
103 WEST GROVE ST, CLARKS SUMMIT, PA 18411-2019
(570) 587-4787
(570) 586-2375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS017660L
PA
122300000X
Dentist
Primary
DS028710L
PA
Other
Enumeration date
08/30/2006
Last updated
07/24/2013
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