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Organization
KELLY C. ALEXANDER, DDS, LLC
Active
Organization
KELLY C. ALEXANDER, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY C. ALEXANDER DDS (SOLE MEMBER)
(330) 245-6107
Entity
Organization
Contact information
Practice address
193 EAST AVE STE 202, TALLMADGE, OH 44278-2341
(330) 633-0324
Mailing address
6167 BURR OAK WAY, HUDSON, OH 44236-4914
(330) 245-6107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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