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Individual

CONNOR KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
1708 FIRESTONE AVE, MUSCLE SHOALS, AL 35661-1974
(256) 814-1165
Mailing address
107 SHANE DR, MUSCLE SHOALS, AL 35661
(334) 718-5246

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-0006994-C1
AL

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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