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Individual

DR. JAMES AARON KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS., MS

Contact information

Practice address
10833 LE CONTE AVENUE ROOM A0-156B CHS, UC REGENTS MAXILLOFACIAL PROSTHODONTICS, LOS ANGELES, CA 90095-1668
(310) 825-5889
(310) 825-6345
Mailing address
10833 LE CONTE AVENUE ROOM A0-156B CHS, UC REGENTS MAXILLOFACIAL PROSTHODONTICS, LOS ANGELES, CA 90095-1668
(310) 825-5889
(310) 825-6345

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
59461
CA
1223P0700X
Prosthodontics
Primary
59461
CA
1223P0700X
Prosthodontics
6741
NE

Other

Enumeration date
11/20/2008
Last updated
09/07/2010
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