Individual
DR. KELLY NOEL LABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 E NEWTON ST RM G-317, BOSTON, MA 02118-2308
(617) 638-4705
Mailing address
100 E NEWTON ST RM G-317, BOSTON, MA 02118-2308
(617) 638-4705
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855422
MA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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