Individual
DR. KELLY MARIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
10401 SAWMILL PKWY, SUITE 50, POWELL, OH 43065-7451
(614) 932-9356
Mailing address
10401 SAWMILL PKWY, SUITE 50, POWELL, OH 43065-7451
(614) 932-9356
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.023602
OH
Other
Enumeration date
06/03/2012
Last updated
06/03/2012
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