Individual
W DAVID KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
59 QUINSIGAMOND AVE, WORCESTER, MA 01610-1867
(508) 799-2550
(508) 756-2923
Mailing address
59 QUINSIGAMOND AVE, WORCESTER, MA 01610-1867
(508) 799-2550
(508) 756-2923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12222
MA
Other
Enumeration date
05/24/2005
Last updated
02/17/2012
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