# KELLS DENTAL

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

## Provider details

- **NPI number:** 1780392217
- **Authorized official:** PATRICIA IZQUIERDO (OWNER)
- **Authorized official phone:** (917) 572-3637

## Contact information

- **Practice address:** 116 39TH ST APT 4, UNION CITY, NJ 07087-6139
- **Practice address phone:** (917) 572-3637
- **Mailing address:** 2807 JACKSON AVE, LONG ISLAND CITY, NY 11101-3458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 11/14/2022