Individual
KELLI A AABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2028 E RIVERSIDE BLVD, SUITE 210, LOVES PARK, IL 61111-4804
(815) 877-4300
(815) 282-5306
Mailing address
2028 E RIVERSIDE BLVD, SUITE 210, LOVES PARK, IL 61111-4804
(815) 877-4300
(815) 282-5306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022144
IL
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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