Individual
DR. BRIAN J KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2609 GLENWOOD AVE, RALEIGH, NC 27608-1003
(919) 782-4444
(919) 781-8118
Mailing address
2609 GLENWOOD AVE, RALEIGH, NC 27608-1003
(919) 782-4444
(919) 781-8118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5819
NC
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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