Individual
JOHN M KELLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JOHN KELLEY, DDS, MS
Contact information
Practice address
1533 MERRIMAC CIR, SUITE 207, FORT WORTH, TX 76107-6571
(817) 338-0771
(817) 332-8072
Mailing address
1533 MERRIMAC CIR, SUITE 207, FORT WORTH, TX 76107-6571
(817) 338-0771
(817) 332-8072
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
TX19132
TX
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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