Organization
KELLY HARRELSON DDS, PLLC
Active
Other names
Harrelson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY HARRELSON DDS (GENERAL DENTIST)
(918) 413-2774
Entity
Organization
Contact information
Practice address
1405 CANNON PKWY, ROANOKE, TX 76262-3620
(817) 430-1212
(817) 491-0154
Mailing address
1405 CANNON PKWY, ROANOKE, TX 76262-3620
(817) 430-1212
(817) 491-0154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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