Individual
DR. EDWARD KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5900 SPOUT SPRINGS RD, STE U-21, FLOWERY BRANCH, GA 30542-6448
(770) 967-1850
Mailing address
5900 SPOUT SPRINGS RD, STE U-21, FLOWERY BRANCH, GA 30542-6448
(770) 967-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 009563
GA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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