Individual
ASHLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3516 PRESTON RD, SUITE 600, PLANO, TX 75093-7408
(972) 612-0553
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(972) 612-0553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22504
TX
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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