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Organization

ROBERT H KELLY, DMD PC

Active
Other names
McKenzie Dental
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT H KELLY DMD (OWNER)
(808) 640-3981
Entity
Organization

Contact information

Practice address
24540 E WELCHES RD, WELCHES, OR 97067-0347
(503) 622-3085
Mailing address
24540 E WELCHES RD, WELCHES, OR 97067-0347
(503) 622-3085

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9179
OR

Other

Enumeration date
11/07/2013
Last updated
11/07/2013
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