Organization
KELLY SKERRETT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SKERRETT (D.D.S.)
(716) 901-1440
Entity
Organization
Contact information
Practice address
520 W HURON ST, APT 402, CHICAGO, IL 60654-3432
(716) 901-1440
Mailing address
520 W HURON ST, APT 402, CHICAGO, IL 60654-3432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028303
IL
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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