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Individual

DR. KELLY CATHRYN TERRANOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4170 GRAPE RD, MISHAWAKA, IN 46545-2610
(574) 272-4200
(574) 255-5056
Mailing address
9850 GENESEE AVENUE, SUITE 720, LA JOLLA, CA 92037
(858) 453-5525
(858) 453-1275

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64008
CA

Other

Enumeration date
08/11/2009
Last updated
12/28/2016
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