Individual
MR. MATTHEW KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD, DALLAS, TX 75390-0001
(214) 645-3979
(214) 648-7620
Mailing address
5343 ELM SPRING LN, FRISCO, TX 75034-1201
(469) 417-9306
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39266
TX
Other
Enumeration date
04/12/2018
Last updated
10/24/2023
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