# KELLY DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DAVID P KELLY DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952110868
- **Authorized official:** DAVID P KELLY DDS (OWNER)
- **Authorized official phone:** (520) 300-0761

## Contact information

- **Practice address:** 3275 W INA RD STE 101, TUCSON, AZ 85741-2152
- **Practice address phone:** (520) 797-5502
- **Mailing address:** 3275 W INA RD STE 101, TUCSON, AZ 85741-2152
- **Mailing address phone:** (520) 797-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025