Individual
MR. JAMES M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2999 N. 44TH ST, SUITE 260, PHOENIX, AZ 85018
(602) 954-1901
(602) 954-1907
Mailing address
2999 N. 44TH ST, SUITE 260, PHOENIX, AZ 85018
(602) 954-1901
(602) 954-1907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023440L
PA
Other
Enumeration date
09/03/2006
Last updated
12/21/2016
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