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Individual

DR. KELLY ROBERTSON PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
300 JADE PARK, SUITE 301, CHELSEA, AL 35043-1704
(205) 678-2770
Mailing address
300 JADE PARK, SUITE 301, CHELSEA, AL 35043-1704
(205) 678-2770

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4889
AL

Other

Enumeration date
07/13/2007
Last updated
11/07/2008
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