Individual
DAVID GENE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7500 80TH ST S, COTTAGE GROVE, MN 55016-3008
(651) 459-3039
(651) 459-9874
Mailing address
7500 80TH ST S, COTTAGE GROVE, MN 55016-3008
(651) 459-3039
(651) 459-9874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10522
MN
Other
Enumeration date
01/18/2007
Last updated
01/02/2008
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