Individual
DR. CAITLIN MAUREEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
131 MAIN ST, WALTHAM, MA 02453-6636
(781) 893-5109
Mailing address
1 NASSAU ST, APT #313, BOSTON, MA 02111-1542
(315) 450-5596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857312
MA
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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