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Organization

PEDIATRIC DENTISTRY OF LOS ALTOS

Active
Other names
pediatric dentistry of los altos
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES KELLY DDS (DENTIST)
(650) 948-6884
Entity
Organization

Contact information

Practice address
731 ALTOS OAKS DR, LOS ALTOS, CA 94024-5402
(650) 948-6884
(650) 948-7244
Mailing address
731 ALTOS OAKS DR, LOS ALTOS, CA 94024-5402
(650) 948-6884
(650) 948-7244

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30395
CA
1223P0221X
Pediatric Dentistry
38101
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21718
CA

Other

Enumeration date
04/11/2007
Last updated
09/11/2025
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