Organization
BRIAN J KELLEHER DDS PA
Active
Other names
Glenwood Village Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J KELLEHER D.D.S. (PRESIDENT)
(919) 782-4444
Entity
Organization
Contact information
Practice address
2609 GLENWOOD AVE, RALEIGH, NC 27608-1003
(919) 782-4444
(919) 781-8118
Mailing address
2609 GLENWOOD AVE, RALEIGH, NC 27608-1003
(919) 782-4444
(919) 781-8118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1756
NC
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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