Individual
DR. GERALD F. KELLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17284 FARMINGTON RD., LIVONIA, MI 48152
(734) 421-1107
(734) 421-1109
Mailing address
17284 FARMINGTON RD., LIVONIA, MI 48152
(734) 421-1107
(734) 421-1109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15532
MI
Other
Enumeration date
07/27/2006
Last updated
06/16/2015
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