Individual
DR. THOMAS STEWART KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 PARK EAST DR, SUITE 180, BEACHWOOD, OH 44122-4339
(216) 464-3777
(216) 464-3377
Mailing address
3700 PARK EAST DR, SUITE 180, BEACHWOOD, OH 44122-4339
(216) 464-3777
(216) 464-3377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-9809
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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