Organization
EASTGLEN DENTAL ASSOCIATES SCOTT KELLY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KELLY (DENTIST)
(614) 491-5511
Entity
Organization
Contact information
Practice address
6465 E BROAD ST, COLUMBUS, OH 43213-1576
(614) 868-0808
Mailing address
6465 E BROAD ST, COLUMBUS, OH 43213-1576
(614) 868-0808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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