Organization
JAMES S. KELLY D.M.D. A PROFESIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SCOTT KELLY D.M.D. (PRESIDENT)
(650) 380-2616
Entity
Organization
Contact information
Practice address
23450 RAVENSBURY AVE, LOS ALTOS HILLS, CA 94024-6517
(650) 380-2616
Mailing address
23450 RAVENSBURY AVE, LOS ALTOS HILLS, CA 94024-6517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CA 30395
CA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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