Individual
DR. KELLY ANN KIRTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,MS,MA
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4634
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4634
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN4848
ME
Other
Enumeration date
06/01/2005
Last updated
05/26/2021
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