Individual
KELIN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
Mailing address
617 PELTON AVE, STATEN ISLAND, NY 10310-3009
(347) 466-1360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02881500
NJ
122300000X
Dentist
DN26374
FL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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