Organization
KELLEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRON HARRIS KELLEY DDS (CEO)
(208) 852-2564
Entity
Organization
Contact information
Practice address
35 S STATE ST, PRESTON, ID 83263-1239
(208) 852-2564
Mailing address
35 S STATE ST, PRESTON, ID 83263-1239
(208) 852-2564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3719
ID
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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