Organization
IMPLANT AND PERIODONTAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY SCHMALZ KELLY DDS, MS (PERIODONTITIST)
(651) 261-3644
Entity
Organization
Contact information
Practice address
3142 WELLNER DR NE, ROCHESTER, MN 55906-8388
(507) 206-6452
(507) 206-6186
Mailing address
3142 WELLNER DR NE, ROCHESTER, MN 55906-8388
(507) 206-6452
(507) 206-6186
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D12773
MN
Other
Enumeration date
01/23/2015
Last updated
01/08/2016
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