Organization
SAMUEL R KELLY DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ROBERT KELLY DMD (MEMBER)
(503) 991-8897
Entity
Organization
Contact information
Practice address
3380 ASTORIA WAY NE, SALEM, OR 97305-1667
(503) 588-7800
Mailing address
3380 ASTORIA WAY NE, SALEM, OR 97305-1667
(503) 588-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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