Individual
KELLY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BRENTWOOD PL APT 62132, FORSYTH, GA 31029-1776
(478) 394-2598
Mailing address
32 BRENTWOOD PL APT 621, FORSYTH, GA 31029-1795
(478) 394-2598
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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