Organization
UNIVERSITY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ROSE KELLY DMD (OWNER)
(206) 522-2212
Entity
Organization
Contact information
Practice address
4540 SAND POINT WAY NE, SUITE 360, SEATTLE, WA 98105-3941
(206) 522-2212
(206) 522-9494
Mailing address
4540 SAND POINT WAY NE, SUITE 360, SEATTLE, WA 98105
(206) 522-2212
(206) 522-9494
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DE60023591
WA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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