Organization
PAUL KELLY MAXILLOFACIAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JOHN KELLY DMD MS (DOCTOR AND OWNER)
(480) 258-0879
Entity
Organization
Contact information
Practice address
726 N GREENFIELD RD, SUITE #117, GILBERT, AZ 85234-5061
(480) 258-0879
Mailing address
726 N GREENFIELD RD, SUITE #117, GILBERT, AZ 85234-5061
(480) 258-0879
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6913
AZ
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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