Individual
JONATHAN HARPER KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9015 PASEO DEL NORTE NE STE A, ALBUQUERQUE, NM 87122
(505) 369-1881
(505) 369-1882
Mailing address
9015 PASEO DEL NORTE NE STE A, ALBUQUERQUE, NM 87122
(505) 369-1881
(505) 369-1882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3705
NM
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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