Individual
DR. KELLY S. WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6211 4TH ST NW, SUITE 13, ALBUQUERQUE, NM 87107-5761
(505) 821-5437
Mailing address
6211 4TH ST NW, SUITE 13, ALBUQUERQUE, NM 87107-5761
(505) 821-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3497
NM
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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