Individual
DR. KELLY KONCZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
545 VENTURE DR, SMITHFIELD, NC 27577-4767
(919) 938-0525
Mailing address
545 VENTURE DR, SMITHFIELD, NC 27577-4767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8621
NC
Other
Enumeration date
10/23/2008
Last updated
04/25/2013
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