Individual
DR. MICHAEL J KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1616 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3210
(303) 772-3313
(303) 772-2985
Mailing address
1616 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3210
(303) 772-3313
(303) 772-2985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
230
CO
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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