Organization
ELITE DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTINE R KELLEY DMD (PRESIDENT)
(617) 281-2978
Entity
Organization
Contact information
Practice address
1540 BEACON ST, BROOKLINE, MA 02446-2215
(617) 738-1950
(978) 658-2579
Mailing address
4 SEQUOIA DR, WILMINGTON, MA 01887-2578
(617) 281-2978
(978) 658-2579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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