Individual
DR. KELLY M GIANNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2101 STONE BLVD STE 130, WEST SACRAMENTO, CA 95691-4056
(916) 452-3584
Mailing address
2101 STONE BLVD STE 130, WEST SACRAMENTO, CA 95691-4056
(916) 452-3584
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44592
CA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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