Individual
DR. ROBERT J. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3901 LOUISIANA BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-1577
(505) 881-2421
(505) 881-2841
Mailing address
3901 LOUISIANA BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-1577
(505) 881-2421
(505) 881-2841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NMLL57
NM
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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