Individual
DR. DANIEL REIRDON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
905 RIO EAST COURT, SUITE B, CHARLOTTESVILLE, VA 22901
(434) 977-4592
(434) 977-0675
Mailing address
905 RIO EAST COURT, SUITE B, CHARLOTTESVILLE, VA 22901
(434) 977-4592
(434) 977-0675
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008605
VA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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