Organization
SARA KELLOGG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA KELLOGG DDS (DDS/OWNER)
(517) 787-2516
Entity
Organization
Contact information
Practice address
2633 SHIRLEY DR, JACKSON, MI 49201-8633
(517) 787-2516
(517) 787-7734
Mailing address
2633 SHIRLEY DR, JACKSON, MI 49201-8633
(517) 787-2516
(517) 787-7734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019574
MI
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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