Organization
KELLY FAMILY DENTAL, PC
Active
Other names
Blue Water Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M KELLY DDS (PRESIDENT/ DDS)
(734) 777-0289
Entity
Organization
Contact information
Practice address
1820 S ARLINGTON AVE, RENO, NV 89509-3309
(775) 329-8622
Mailing address
1820 S ARLINGTON AVE, RENO, NV 89509-3309
(775) 329-8622
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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