Individual
DR. BENJAMIN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2009 BELMONT RD NW, APT 101, WASHINGTON, DC 20009-5449
(207) 205-9002
Mailing address
550 VANDERBILT AVE APT 1215, BROOKLYN, NY 11238-4295
(207) 205-9002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN4504
ME
1223E0200X
Endodontics
Primary
063030
NY
Other
Enumeration date
09/14/2016
Last updated
10/09/2024
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