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Organization
TERRY M. KELLY DMD PA
Active
Organization
TERRY M. KELLY DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL KELLY DMD (OWNER DENTIST)
(813) 745-3968
Entity
Organization
Contact information
Practice address
12902 MAGNOLIA DRIVE, HEAD AND NECK CLINIC, TAMPA, FL 33612
(813) 979-3968
(813) 745-7464
Mailing address
701 S HOWARD AVE STE 106-307, TAMPA, FL 33606-2473
(813) 745-3968
(813) 745-7464
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN11407
FL
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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