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Organization
PATRICK J. KELLY, DDS, PLLC
Active
Organization
PATRICK J. KELLY, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES KELLY DDS (OWNER)
(586) 790-7360
Entity
Organization
Contact information
Practice address
35992 S GRATIOT AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
(586) 790-8860
Mailing address
35992 S GRATIOT AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
(586) 790-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009898
MI
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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