Individual
JANICE KAELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
9301 FIRCREST LN STE 5, SAN RAMON, CA 94583-3960
(925) 860-7270
Mailing address
9301 FIRCREST LN STE 5, SAN RAMON, CA 94583-3960
(925) 860-7270
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
12011365A
IN
1223P0300X
Periodontics
Primary
57658
CA
Other
Enumeration date
12/01/2012
Last updated
01/24/2018
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