Individual
PATRICK TADHG KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17 MIDDLE ISLAND POINT RD, MARQUETTE, MI 49855-9726
(906) 228-9535
Mailing address
17 MIDDLE ISLAND POINT RD, MARQUETTE, MI 49855-9726
(906) 228-9535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901008589
MI
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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