Organization
PATRICK J. KELLY, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES KELLY DDS (OWNER)
(586) 790-7360
Entity
Organization
Contact information
Practice address
35992 S GRATIOT AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
(586) 790-8860
Mailing address
35992 S GRATIOT AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
(586) 790-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009898
MI
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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