Individual
DR. THOMAS FRANCIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 BODIN ST, 60TH DENTAL SQUADRON, TRAVIS AFB, CA 94535
(707) 423-7085
Mailing address
3251 CORTE VALENCIA, FAIRFIELD, CA 94534
(707) 399-9038
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5546
CT
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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