Organization
DR. KELLY D. O'NEAL, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DONALD O'NEAL D.D.S. (DENTIST)
(719) 599-5340
Entity
Organization
Contact information
Practice address
415 W ROCKRIMMON BLVD, SUITE 200, COLORADO SPRINGS, CO 80919-1776
(719) 599-5340
(719) 598-0275
Mailing address
415 W ROCKRIMMON BLVD, SUITE 200, COLORADO SPRINGS, CO 80919-1776
(719) 599-5340
(719) 598-0275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6086
CO
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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