Individual
DR. KELLY BLENKHORN DEMAREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15 CEDAR ST, HYANNIS, MA 02601-3009
(508) 790-7801
(508) 775-5608
Mailing address
31 CROWELL RD, SAGAMORE BEACH, MA 02562-2610
(508) 888-1256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18955
MA
Other
Enumeration date
12/24/2006
Last updated
07/08/2007
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