Individual
DR. KELLEY LUCILLE TOMSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4650 TAYLOR RD, BETHESDA, MD 20889-5638
(301) 295-2737
Mailing address
4650 TAYLOR RD, BETHESDA, MD 20889-5600
(301) 295-2737
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
21343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160057901
—
TX
01
—
21343
TEXAS DENTAL LICENSE
TX
01
—
80082178
BLUE LINK
TX
Enumeration date
09/27/2006
Last updated
10/17/2023
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