Individual
DR. KELLY S JANECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1498 S SAINT FRANCIS DR, SANTA FE, NM 87505
(505) 986-6073
(505) 992-1355
Mailing address
1498 S SAINT FRANCIS DR, SANTA FE, NM 87505
(505) 986-6073
(505) 992-1355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM 1872
NM
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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