Organization
DELAFIELD FAMILY DENTAL, INC
Active
Other names
Michelle Kelly DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE J KELLY DDS (OWNER/PRESIDENT)
(262) 646-4188
Entity
Organization
Contact information
Practice address
11 CROSSROADS CT, DELAFIELD, WI 53018-2035
(262) 646-4188
(262) 646-4181
Mailing address
11 CROSSROADS CT, DELAFIELD, WI 53018-2035
(262) 646-4188
(262) 646-4181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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