Individual
DANIEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 W SAMPLE RD STE 7B, POMPANO BEACH, FL 33073-3081
(305) 624-2629
Mailing address
2301 W SAMPLE RD STE 7B, POMPANO BEACH, FL 33073-3081
(305) 624-2629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
BK0936154
FL
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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