Organization
KELLY C. ALEXANDER, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY C. ALEXANDER DDS (SOLE MEMBER)
(330) 245-6107
Entity
Organization
Contact information
Practice address
193 EAST AVE STE 202, TALLMADGE, OH 44278-2341
(330) 633-0324
Mailing address
6167 BURR OAK WAY, HUDSON, OH 44236-4914
(330) 245-6107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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