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Organization

JOHN M KELLY DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MICHAEL KELLY DDS (OWNER)
(301) 657-3220
Entity
Organization

Contact information

Practice address
4833 BETHESDA AVE, SUITE 302, BETHESDA, MD 20814-5244
(301) 657-3220
(301) 657-1669
Mailing address
4833 BETHESDA AVE, SUITE 302, BETHESDA, MD 20814-5244
(301) 657-3220
(301) 657-1669

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
O9294
MD

Other

Enumeration date
02/27/2008
Last updated
02/27/2008
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