Organization
CHELSEA KELLY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA R KELLY DDS (OWNER/PROVIDER)
(419) 542-7748
Entity
Organization
Contact information
Practice address
106 N BRYAN ST, HICKSVILLE, OH 43526-1004
(419) 542-7748
(419) 542-7749
Mailing address
106 N BRYAN ST, HICKSVILLE, OH 43526-1004
(419) 542-7748
(419) 542-7749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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