Organization
GERALD F KELLY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD F KELLY DDS (PRESIDENT)
(734) 421-1107
Entity
Organization
Contact information
Practice address
17284 FARMINGTON RD, LIVONIA, MI 48152-3151
(734) 421-1107
Mailing address
17284 FARMINGTON RD, LIVONIA, MI 48152-3151
(734) 421-1107
(734) 421-1109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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